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Horseshoe kidney with bilateral single system ectopic ureters
1Department of Diagnostic Radiology, University of Hong Kong, Queen Mary Hospital, Hong Kong.
The Australian and New Zealand Journal of Surgery
|November 1, 1996
Summary
A rare combination of horseshoe kidney and bilateral single system ectopic ureters was identified in a 9-month-old boy. This case highlights the importance of imaging in diagnosing complex pediatric urological anomalies.
Area of Science:
- Pediatric Urology
- Congenital Anomalies
- Renal and Urological Imaging
Background:
- Horseshoe kidney is a common congenital renal anomaly.
- Ectopic ureters can occur as single or multiple system anomalies.
- Bilateral single system ectopic ureters are rare, especially in conjunction with other renal malformations.
Observation:
- A 9-month-old boy presented with a horseshoe kidney.
- Bilateral single system ectopic ureters were noted.
- The right ureteric orifice was near the midline of a deformed trigone.
- The left ureter was grossly dilated and inserted into the posterior urethra.
Findings:
- Imaging successfully defined the rare combination of horseshoe kidney and bilateral single system ectopic ureters.
- The specific anatomical details of the ureteral orifices and dilation were characterized.
- This complex urological malformation was identified pre-operatively.
Implications:
- Accurate pre-operative imaging is crucial for planning surgical correction of complex pediatric urological anomalies.
- Understanding the anatomical variations in such cases aids surgical decision-making.
- This case contributes to the literature on rare congenital urological malformations.