A Case of Ectopic Ureterocele

SUMMARY Ureterocele is a cystic dilatation of submucosal segment of intravesical ureter. It Usually classified as "simple" and "ectopic" ureterocele. The simple or adult type has less clinical significance. The most common clinical presentation of ureterocele is recurrent urinary tract infection. Although it may present with other features such as: Sepsis, abdominal pain, failure to thrive, nausea vomiting, frequency and urgency. IVP still is the keystone of diagnosis, but the most useful study is cytourethrography and puncture cystography. The presented case in this thesis, is a 52 days. Infant with urinary retention and abdominal distention from 24h before admission. In physical examination: The only abnormal findings were abdominal distention and epigastric tenderness. In IVP, bilateral hydroureteronephrosis was seen.In sonography, also bilateral hydroureteronephrosis and a mass in bladder was reported. These information didn't suggest duplication of urinary tract. But retrograde X-ray study during operation detected left ureteral duplication. Surprisingly the ureter that ending to ureterocele duplication. Surprisingly the ureter that ending to ureterocele was thready and jointed to dysplastic kidney, a finding that suggests ureterocele disproportion.