1/38. Unusual anatomic presentation of ectopic ureteroceles.The authors describe four patients with unusual anatomic presentation of ectopic ureteroceles and their surgical treatment. Over a 3-year period, four cases of unusual ectopic ureteroceles were encountered. A 6-month-old girl had a complex cloacal anomaly with an ectopic ureterocele within the cloaca. A 10-year-old boy had two large diverticuli within an ectopic ureterocele combined with a blind-ending ipsilateral ureter. A 3-year-old girl had an ectopic ureterocele combined with a periureteral diverticulum and a completely duplicated ipsilateral kidney. A 4-year-old girl was found to have a vaginal ectopic ureterocele. Despite thorough radiological investigation in all patients, a correct assessment of the anatomic defect was achieved only by surgical exploration or endoscopic evaluation. If preoperative radiological evaluation is equivocal, a high index of suspicion and intraoperative recognition of an unusual anatomic presentation of the ectopic ureterocele are essential for appropriate management and a successful outcome.- - - - - - - - - - ranking = 1keywords = kidney (Clic here for more details about this article) |
2/38. Acute retention of urine due to prolapsed ectopic ureterocele in an adult male.A case is presented of prolapsed ectopic ureterocele which produced severe urinary retention in a 31-year-old male patient. The usefulness of lumbar transcutaneous puncture is emphasized in a case associated with a non-functioning upper pole of a duplex kidney.- - - - - - - - - - ranking = 1keywords = kidney (Clic here for more details about this article) |
3/38. Common sheath reimplantation with ureteral plication: a useful technique for the management of ectopic ureterocele.BACKGROUND: When salvaging the upper pole kidney in duplex ectopic ureterocele, primary bladder level surgery with common sheath ureteral reimplantation has the definite advantage of allowing the reconstruction of the entire collecting system through a single lower abdominal incision. However, there are several complications associated with a common sheath reimplantation in a child with a very dilated upper pole ureter, such as vesicoureteral reflux or ureterovesical stenosis. methods/RESULTS: To avoid these complications, ureteral plication over the common ureteral sheath in two children with duplex ectopic ureterocele was used. Postoperatively, neither child showed reflux or recurrent urinary tract infection and both showed a marked improvement of the upper pole collecting system. CONCLUSION: This technique allows for a simple and definitive reconstruction in cases of duplex ectopic ureterocele, particularly with dilated upper pole ureter.- - - - - - - - - - ranking = 1keywords = kidney (Clic here for more details about this article) |
4/38. 49,XXXXY syndrome with hydronephrosis caused by intravesical ureterocele.A 1-month-old boy was referred to our hospital with right hydronephrosis. Excretory urography showed poor visualization of the right kidney and a filling defect in the bladder. Chromosomal analysis of peripheral blood revealed a karyotype of 49,XXXXY, and a diagnosis of 49,XXXXY Klinefelter s syndrome associated with hydronephrosis caused by intravesical ureterocele was made. 49,XXXXY Klinefelter s syndrome with anomalies of the urinary tract is extremely rare, and only 2 cases have been reported so far.- - - - - - - - - - ranking = 1keywords = kidney (Clic here for more details about this article) |
5/38. Unusual presentation of cecoureterocele.A three-year-old female had a nephroureterectomy for a hydronephrotic left kidney with a total duplicated collecting system. Postoperatively urinary retention developed which was found to be secondary to a previously nonobstructive cecoureterocele. A brief review of cecoureteroceles is given along with the possible cause of this unusual presentation.- - - - - - - - - - ranking = 1keywords = kidney (Clic here for more details about this article) |
6/38. Endoscopic management of a ureterocele in complete ureteric duplication of an infant.A 2-month-old female infant with an initial symptomatic presentation of fever suffered from persistent febrile urinary tract infections and was treated with antibiotics. Further evaluation including voiding cystourethrography (VCUG), Tc-99m dimercaptosuccinic acid (DMSA) scan, intravenous urography (IVU) showed a ureterocele and hydroureteronephrosis in the upper moiety of a left duplicated kidney. Endoscopic incision of the ureterocele was successful in treating the ureterocele, urinary tract infection and salvaging the function of the upper moiety of the kidney in a 1-year follow-up visit.- - - - - - - - - - ranking = 2keywords = kidney (Clic here for more details about this article) |
7/38. Single-system cecoureterocele.A rare case of single system cecoureterocele associated with ipsilateral dysplastic kidney in a 4-year-old girl is reported. The preoperative radiological and endoscopic investigations identified ureterocele but not its cecal extension. The latter was diagnosed only during the transvesical surgery. Complete cure of her symptoms was achieved following staged procedures comprising of right ipsilateral nephroureterectomy followed by combined transvesical and transurethral deroofing of the cecoureterocele, excision of ureteric stump and its extension in the bladder and repair of the detrusor. This is the second case report in English language literature of single-system cecoureterocele.- - - - - - - - - - ranking = 1keywords = kidney (Clic here for more details about this article) |
8/38. Cross-fused ectopic multicystic dysplastic kidney with associated ureterocele.We describe a case of the unique congenital anomaly of cross-fused ectopic multicystic dysplastic kidney with associated ureterocele and demonstrate the usefulness of magnetic resonance imaging in fetal imaging.- - - - - - - - - - ranking = 5keywords = kidney (Clic here for more details about this article) |
9/38. Dilated ureter presenting as a cystic abdominal mass--a case report.A seven-month-old female child presenting with a large abdominal mass was found on investigation to have a duplex right kidney with a non-functioning obstructed upper moiety and a right ureterocele. The grossly dilated and tortuous upper moiety ureter presented as a large cystic mass on ultrasound and computed tomographic scans.- - - - - - - - - - ranking = 1keywords = kidney (Clic here for more details about this article) |
10/38. Low transurethral incision of single system intravesical ureteroceles in children.Single system intravesical ureteroceles in children usually result in various degrees of hydroureteronephrosis requiring surgical intervention to provide drainage, decompression and preservation of renal function. Our experience with 7 symptomatic single system ureteroceles in 5 children managed by low transverse endoscopic ureterocele incision is reviewed. After endoscopic incision, hydroureteronephrosis decreased in all patients. Vesicoureteral reflux after incision was noted in only 1 kidney. The technique of short (2 to 3 mm.) low transverse ureterocele incision is recommended for the initial management of single system ureteroceles to relieve obstruction. Preservation of the flap valve ureteral antireflux mechanism is possible in most children. The technique is simply performed, can be safely done in the youngest child and, in many, obviates the need for a further operation.- - - - - - - - - - ranking = 1keywords = kidney (Clic here for more details about this article) |
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