A CASE OF ECTOPIC URETER WITH VAGINAL INSERTION - ADULT PRESENTATION

Abstract

Complete duplication and an ectopic
ureter are rarely identified in adulthood.
Continous dribbling and incontinence
with normal micturition is the classic feature
in females (1).Here we present a
case report of seventeen year old female
with continuous incontinence since birth
with episodes of recurrent UTI.The case
was evaluated with imaging and found to
have a right duplex system with an upper
pole moiety ureter with ectopic insertion
in to the vagina. MagneticResonance
urogram (MRU) was very useful to delineate
the ectopic ureteric insertion.The
poorly functioning upper pole moiety was
diagnosed with nuclear study.Right upper
pole heminephrectomy was done
with excision of the ureteric stump. The
post operative period was uneventful.
Keyword :Ectopic ureter, Incontinence,
MRU, Heminephrectomy