Congenital ureterovaginal fistula: a rare case of single-system ectopic ureter with ipsilateral ectopic kidney managed by vaginal approach: a case report.
Congenital
Ectopic ureter
Single system
Ureterovaginal fistula
Journal
Journal of medical case reports
ISSN: 1752-1947
Titre abrégé: J Med Case Rep
Pays: England
ID NLM: 101293382
Informations de publication
Date de publication:
15 Dec 2021
15 Dec 2021
Historique:
received:
01
07
2021
accepted:
15
10
2021
entrez:
16
12
2021
pubmed:
17
12
2021
medline:
18
12
2021
Statut:
epublish
Résumé
Diagnosing urinary incontinence from organic causes such as ectopic ureter is particularly important because of the potential for cure by surgical correction. The prevalence of ectopic ureter is uncertain because many are asymptomatic and the diagnosis is usually overlooked. Eighty percent of ectopic ureters in females are often associated with duplex kidney. However, an ectopic ureter draining a single-system ectopic dysplastic/atrophic but functioning kidney is rare, especially in females. The overall long-term continence rate after successful correction of ectopic ureter is satisfactory. This case is reported to highlight a rare situation, where a 22-year-old nulligravid Ethiopian women presented with a complaint of continuous wetting of her underwear since childhood, but she had normal voiding pattern. Localized right pelvic kidney ultrasound and computed tomography scan with contrast revealed right ectopic ureter and atrophied ipsilateral pelvic kidney with good function. Surgical reimplantation through vaginal approach was performed, and the outcome was good. The patient's subsequent follow-ups were uneventful. An extramural vaginal ectopic ureter is better accessed through transvaginal approach than abdominal, especially when it is associated with pelvic ectopic kidney. This modified approach is less invasive and has lower morbidity and better success rate than a transabdominal approach.
Sections du résumé
BACKGROUND
BACKGROUND
Diagnosing urinary incontinence from organic causes such as ectopic ureter is particularly important because of the potential for cure by surgical correction. The prevalence of ectopic ureter is uncertain because many are asymptomatic and the diagnosis is usually overlooked. Eighty percent of ectopic ureters in females are often associated with duplex kidney. However, an ectopic ureter draining a single-system ectopic dysplastic/atrophic but functioning kidney is rare, especially in females. The overall long-term continence rate after successful correction of ectopic ureter is satisfactory.
CASE PRESENTATION
METHODS
This case is reported to highlight a rare situation, where a 22-year-old nulligravid Ethiopian women presented with a complaint of continuous wetting of her underwear since childhood, but she had normal voiding pattern. Localized right pelvic kidney ultrasound and computed tomography scan with contrast revealed right ectopic ureter and atrophied ipsilateral pelvic kidney with good function. Surgical reimplantation through vaginal approach was performed, and the outcome was good. The patient's subsequent follow-ups were uneventful.
CONCLUSION
CONCLUSIONS
An extramural vaginal ectopic ureter is better accessed through transvaginal approach than abdominal, especially when it is associated with pelvic ectopic kidney. This modified approach is less invasive and has lower morbidity and better success rate than a transabdominal approach.
Identifiants
pubmed: 34911581
doi: 10.1186/s13256-021-03157-x
pii: 10.1186/s13256-021-03157-x
pmc: PMC8672462
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
617Informations de copyright
© 2021. The Author(s).
Références
Vet Surg. 2017 Jul;46(5):631-641
pubmed: 28390102
Pediatr Surg Int. 2001 Nov;17(8):638-41
pubmed: 11727057
Front Pediatr. 2018 Jun 19;6:176
pubmed: 29974045
Turk J Urol. 2015 Mar;41(1):53-5
pubmed: 26328201
Urol Case Rep. 2021 Feb 05;36:101597
pubmed: 33614412