Duplicated Ureter with an Ectopic Ureteral Orifice in a Middle Aged Female Who Complained of Vaginal Discharge

Woong Ki Jang; Jin Ha Lee; Yong Kyu Lee; Young Kwon Hong

doi:10.4111/kju.2007.48.11.1182

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Jang, Lee, Lee, and Hong: Duplicated Ureter with an Ectopic Ureteral Orifice in a Middle Aged Female Who Complained of Vaginal Discharge

Case Report

Korean Journal of Urology

Korean Journal of Urology 2007; 48(11): 1182-1185.

Published online: 30 November 2007

DOI: https://doi.org/10.4111/kju.2007.48.11.1182

Duplicated Ureter with an Ectopic Ureteral Orifice in a Middle Aged Female Who Complained of Vaginal Discharge

Woong Ki Jang, Jin Ha Lee, Yong Kyu Lee, Young Kwon Hong

Department of Urology, College of Medicine, Pochon CHA University, Seongnam, Korea.

Corresponding author (uroghong@yahoo.co.kr)

Received 20 December 2006 Accepted 5 September 2007

Abstract

Duplication is the most common type of congenital anomaly of the ureter. It occurs more frequently in females and it is often accompanied by an ectopic orifice. Ectopic ureter is usually derived from the upper pole of the ipsilateral kidney and its orifice is attached medial & inferior from the normal opening according to Weigert-Meyer's law. Thus, sometimes the ectopic ureteral opening is made at a distal part of the external sphincter or even out of the urinary system. These conditions may result in urinary incontinence in female patients, so they can be treated early at the mean age of 5 and it's not common that ectopic ureter accompanying complete duplication of the ureter is presented in adults. We report here on a case of ectopic ureter accompanying complete duplication of the ureter in a 44 year old female who presented with leukorrhea.

Keywords: Ureter, Urogenital abnormality

Figures and Tables

Fig. 1

Markedly dilated visible portion of the left distal ureter with an enhancing wall, distally extending to the level of the vagina near the urethra.

Fig. 2

The upper pole of the kidney with invisible renal parenchyma, due to severe hydronephrosis, is draining into an elongated tubular structure that was noted on the previous pelvic CT scan. The mid & lower pole of the kidney have normal renal parenchyme & ureter draining to the bladder.

Fig. 3

Retrograde pyelography (RGP) of the lower ureter.

Fig. 4

(A) Residual cystic structure at the left kidney upper medial portion, (B) residual cystic structure at the left kidney upper medial portion.

References

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