Successful management of single system ectopic ureter with preserved renal function in a female child: a case report
DOI:
https://doi.org/10.18203/2349-2902.isj20210944Keywords:
Continuous wetting, Single system ectopic ureter, Uretero neocystostomy, Congenital anomaliesAbstract
Ectopic ureter is a rare congenital anomaly of the genitourinary system, in which ureter does not insert into its normal anatomical position in bladder. Incidence is 1 in 4000 and has female predominance. Ectopic ureter is generally (80-85%) associated with a duplication of renal system, while in single system is found in 15-20%. If ectopic ureter drains a single kidney it is known as single system ectopic ureter (SSEU) in a female is extremely rarely found. Here, we report a case of single system ectopic ureter without renal dysplasia and other congenital abnormalities, which was diagnosed and managed successfully with uretero-neocystostomy. In conclusion, once a female is presented with urinary incontinence after toilet training then evaluation should be done for ectopic ureter along with other possible condition and management should be as early as possible & proper surgical intervention done.
Metrics
References
Duicu C, Kiss E, Simu I, Aldea C. A rare case of double-system with ectopic ureteral openings into vagina. Front Pediatr. 2018;6:176.
Kumar S, Bera MK, Bera KP, Vijay MK, Kundu AK. Laparoscopic ureteric reimplantation of a single-system ectopic ureter in a girl: A rarity. J Minim Access Surg. 2010;6(3):80-2.
Prakash J, Singh BP, Sankhwar S, Goel A. Normal functioning single system ectopic ureter draining into a Gartner's cyst: laparoscopic management. BMJ Case Rep. 2013;2013:bcr2013009563.
Gangopadhyaya AN. Single system ectopic ureter in females: A single center study. J Indian Assoc Pediatr Surg. 2007;4:202-5.
Hanson GR, Gatti JM, Gittes GK, Murphy JP. Diagnosis of ectopic ureter as a cause of urinary incontinence. J Pediatr Urol. 2007;3(1):53-7.
Figueroa VH, Chavhan GB, Oudjhane K, Farhat W. Utility of MR urography in children suspected of having ectopic ureter. Pediatr Radiol. 2014;44(8): 956-62.
Lee YS, Im YJ, Kim SW, Kim MJ, Lee MJ, Lim NL, Han SW. The vagaries of proper imaging in diagnosing single-system ectopic ureter in children with continuous incontinence and outcomes of simple nephrectomy. J Pediatr Surg. 2016;51(3): 469-74.
Ghosh B, Shridhar K, Pal DK, Banerjee M. Ectopic ureter draining into the uterus. Urol Ann. 2016; 8(1):105-7.
Kumar A, Goyal NK, Trivedi S, Dwivedi US, Singh PB. Bilateral single system ectopic ureters: case report with literature review. Afr J Paediatr Surg. 2008;5(2):99-101.
Wakhlu A, Dalela D, Tandon RK, Chandra H, Wakhlu AK. The single ectopic ureter. Br J Urol. 1998;82(2):246-51.
Downloads
Published
How to Cite
Issue
Section
