[ON A CASE OF MULTIPLE MALFORMATIONS OF THE URINARY TRACT (URETEROCELE, MEGAURETER, BILATERAL DUPLICATION OF THE PELVIS AND URETER)].
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Keywords:
Megaureter
Ureterocele
Renal pelvis
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Ureterocele
Neuroradiology
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An ectopic ureterocele and unilateral ureteral duplication in a young women is reported. It is a rare congenital malformation of the urinary tract. In this typical case, the aspecific symptomatology and diagnostic imaging are discussed. The pathology was not diagnosed preoperatively. The excretory urography, sonography and CT scanning did not show neither the duplication and the ureterocele, and diagnosis of retroperitoneal mass was made. The data of literature are analyzed and the importance of surgical therapy is underlined.
Ureterocele
Pyelogram
Ectopic ureter
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Ureterocele is a congenital urinary abnormality characterized by the presence of an intra-bladder hernia or cystic ballooning of the lower end of a ureter between the mucosa and muscle of the bladder. The abnormality leads to urinary retention and recurrent urinary tract infection which can cause irreversible damage to the kidney. Antenatal ultrasound diagnosis of ureterocele is possible but remains difficult. The disease is confirmed during radiologic examination after birth, and renal function is assessed by 99mTc-DMSA. Ureterocele, while not an uncommon pediatric urologic problem, has been reported only rarely in adults. It is bilateral in 10% of cases, is rare in black people, and requires thoughtful management decisions. A relatively uncommon case of bilateral ureterocele with single ureter, associated with left vesicoureteral reflux, in African black man is reported. The patient was investigated by ultrasonography and intravenous urography. Surgical transvesical right "osteoplasty" and excision of the left ureterocele plus ureteric reimplantation, using Politano-Leadbetter technique, were performed. The surgical approach to ureterocele is discussed and we underlined the difficulty of therapeutic decisions, especially if surgery is considered.
Ureterocele
Abnormality
Presentation (obstetrics)
Pyelogram
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Ureterocele
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Ureterocele
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Ureterocele with unilateral duplex system: Presenting as severe urinary tract infection in an infant
Ureterocele is a cystic dilatation anomaly of distal ureter with an incidence of 1:500-2000 at childhood. Complete ureter duplication is primarily seen in ureter that drain upper pole by 80%. Ureterocele, vesicoureteral reflux (VUR) and ectopic ureter may be seen in association with duplicated collecting system anomaly and some syndromes can accompany to duplex system anomaly. Obstruction with very poor renal function is best treated by upper pole heminephroureterectomy. We report congenital ureterocele with non functioning upper moiety.
Ureterocele
Ectopic ureter
Upper urinary tract
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Ureterocele
Abnormality
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The ureterocele is a cystic ballooning of the terminal ureter into the bladder resulting from a congenital weakness of the wall of the lower ureter and a facultative concomitant stenosis of the ureteral orifice. This condition is more frequent in females. The cobra head with its surrounding halo is the most common finding on the excretory urogram in the simple adult ureterocele. In ectopic ureterocele which is principally encountered in children, the ureter terminates either at the bladder neck or in the proximal urethra. The urogram shows filling defect in the bladder which may extend into the female urethra. Ureteral duplication, dilatation of the upper urinary tract, vesico-ureteral reflux, chronic infection and ureteral stones are the most frequent additional findings and complications.
Ureterocele
Megaureter
Ectopic ureter
Concomitant
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