Bilateral single system ectopic ureters - A rare variant

Aditi Vijay Dalvi; Maitreyee Save; Paras Kothari; Abhaya Gupta; Sanjay Oak; Shahaji Deshmukh; Apoorva Kulkarni; Saket Jha; Dhvani Shah

doi:10.1016/j.eucr.2023.102609

Bilateral single system ectopic ureters - A rare variant

Urol Case Rep. 2023 Nov 8:51:102609. doi: 10.1016/j.eucr.2023.102609. eCollection 2023 Nov.

Authors

Aditi Vijay Dalvi¹, Maitreyee Save¹, Paras Kothari¹, Abhaya Gupta¹, Sanjay Oak¹, Shahaji Deshmukh¹, Apoorva Kulkarni¹, Saket Jha¹, Dhvani Shah¹

Affiliation

¹ Lokmanya Tilak Municipal Medical College and General Hospital Mumbai, 400022, Maharashtra, India.

Abstract

Bilateral single system ectopic ureters are a rare entity in paediatric urology. We report a girl child with bilateral single system ectopic ureters with right system opening into the vagina, who presented at 3.5 years with continuous dribbling of urine & a small capacity bladder. Renal scans and MRI were done which indicated bilateral single system ectopic ureters with hydroureteronephrosis. We managed her surgically by a right nephro-ureterectomy, bladder augmentation, left ureteric reimplantation and Mitrofanoff. Post op patient had acute on chronic renal failure, stabalised by haemodialysis. It is a rare presentation if managed promptly can prevent renal replacement therapy.

Keywords: Bilateral ectopic ureters; Bladder augmentation; Mitrofanoff.

Publication types

Case Reports