Unusual Pattern Of Pyeloureteral Duplication Associated With Vaginal Ectopic Ureter In A 12-year Old Girl Identified By Magnetic Resonance Urography: A Case Report
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چکیده
Introduction: The prevalence of ectopic ureter (EU) is low and it is usually associated with urinary system duplication. In such cases, incontinence is a major complaint. Case Presentation: We present a case of a female patient that was diagnosed with ectopic ureter opening at the posterior vaginal fornix along with a duplicated pyeloureteral system after a regular diagnostic work-up that turned out inconclusive and several years of observance. Magnetic Resonance Urography (MRU) consisted of a left tortuous ectopic ureter opening at the posterior vaginal fornix. The pattern of drainage was oddly inverted and influenced the chosen treatment, which consisted of transureteroanastomosis together with ligation of the ectopic ureter. Incontinence fully resolved after surgery. Conclusion: Even though Intravenous Pyelogram (IVP) is highly sensible to detect renal duplication when an ectopic ureter is draining a dysplastic upper segment of a duplex kidney, Magnetic Resonance Urography should be regarded as a better diagnostic tool in such cases.
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