Bilateral Ectopic Ureters with Vaginal Insertion in a Duplex Collecting System: A Case Report of a Rare Case
The usual opening of the ureters is in the trigone of the bladder. However, it may open in an infrasphincteric location causing urinary incontinence with normal voiding. This is more commonly associated with a duplex collecting system in females, albeit, a bilateral occurrence of ectopic ureters wit...
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| Format: | Article |
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Wolters Kluwer Medknow Publications
2024-10-01
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| Series: | International Journal of Medicine and Health Development |
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| Online Access: | https://journals.lww.com/ijmh/fulltext/2024/29040/bilateral_ectopic_ureters_with_vaginal_insertion.13.aspx |
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| author | Isaac Chukwu Uchechukwu O Ezomike Samuel Ekpemo Leonard Okonkwo Chukwudi Uchendu |
| author_facet | Isaac Chukwu Uchechukwu O Ezomike Samuel Ekpemo Leonard Okonkwo Chukwudi Uchendu |
| author_sort | Isaac Chukwu |
| collection | DOAJ |
| description | The usual opening of the ureters is in the trigone of the bladder. However, it may open in an infrasphincteric location causing urinary incontinence with normal voiding. This is more commonly associated with a duplex collecting system in females, albeit, a bilateral occurrence of ectopic ureters with drainage into the vagina is rare. We report a rare case of bilateral occurrence of a duplex collecting system with drainage into the vagina. She was a 3-year-old girl with a complaint of continuous dripping of urine despite normal voiding. There was no history of fever, difficulty with micturition, fecal soiling, back swelling, or pelvic surgery in the past. She had normal female external genitalia with two openings in the vestibule. A computerized tomography urography showed a bilateral duplex collecting system with prompt and symmetric excretion of contrast, and dilated ureters of the upper renal moiety draining into the vagina bilaterally. We reimplanted the ectopic ureters with a resolution of urinary incontinence. |
| format | Article |
| id | doaj-art-6fa6beafcd97416aba21a122d5e48721 |
| institution | DOAJ |
| issn | 2667-2863 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | International Journal of Medicine and Health Development |
| spelling | doaj-art-6fa6beafcd97416aba21a122d5e487212025-08-20T02:50:05ZengWolters Kluwer Medknow PublicationsInternational Journal of Medicine and Health Development2667-28632024-10-0129434735010.4103/ijmh.ijmh_28_24Bilateral Ectopic Ureters with Vaginal Insertion in a Duplex Collecting System: A Case Report of a Rare CaseIsaac ChukwuUchechukwu O EzomikeSamuel EkpemoLeonard OkonkwoChukwudi UchenduThe usual opening of the ureters is in the trigone of the bladder. However, it may open in an infrasphincteric location causing urinary incontinence with normal voiding. This is more commonly associated with a duplex collecting system in females, albeit, a bilateral occurrence of ectopic ureters with drainage into the vagina is rare. We report a rare case of bilateral occurrence of a duplex collecting system with drainage into the vagina. She was a 3-year-old girl with a complaint of continuous dripping of urine despite normal voiding. There was no history of fever, difficulty with micturition, fecal soiling, back swelling, or pelvic surgery in the past. She had normal female external genitalia with two openings in the vestibule. A computerized tomography urography showed a bilateral duplex collecting system with prompt and symmetric excretion of contrast, and dilated ureters of the upper renal moiety draining into the vagina bilaterally. We reimplanted the ectopic ureters with a resolution of urinary incontinence.https://journals.lww.com/ijmh/fulltext/2024/29040/bilateral_ectopic_ureters_with_vaginal_insertion.13.aspxcase report; duplex system; ectopic ureters; urinary incontinence; vaginal insertion |
| spellingShingle | Isaac Chukwu Uchechukwu O Ezomike Samuel Ekpemo Leonard Okonkwo Chukwudi Uchendu Bilateral Ectopic Ureters with Vaginal Insertion in a Duplex Collecting System: A Case Report of a Rare Case International Journal of Medicine and Health Development case report; duplex system; ectopic ureters; urinary incontinence; vaginal insertion |
| title | Bilateral Ectopic Ureters with Vaginal Insertion in a Duplex Collecting System: A Case Report of a Rare Case |
| title_full | Bilateral Ectopic Ureters with Vaginal Insertion in a Duplex Collecting System: A Case Report of a Rare Case |
| title_fullStr | Bilateral Ectopic Ureters with Vaginal Insertion in a Duplex Collecting System: A Case Report of a Rare Case |
| title_full_unstemmed | Bilateral Ectopic Ureters with Vaginal Insertion in a Duplex Collecting System: A Case Report of a Rare Case |
| title_short | Bilateral Ectopic Ureters with Vaginal Insertion in a Duplex Collecting System: A Case Report of a Rare Case |
| title_sort | bilateral ectopic ureters with vaginal insertion in a duplex collecting system a case report of a rare case |
| topic | case report; duplex system; ectopic ureters; urinary incontinence; vaginal insertion |
| url | https://journals.lww.com/ijmh/fulltext/2024/29040/bilateral_ectopic_ureters_with_vaginal_insertion.13.aspx |
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