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KMID : 0358320130540070482
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Korean Journal of Urology
2013 Volume.54 No. 7 p.482 ~ p.485
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Bilateral Single Ectopic Ureters Draining Into a Grossly Dilated Vagina in an Adolescent Female
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Mandal Soumendra Nath
Jagadheesan Gokulakrishnan Puttuthakku
Kamal Mir Reza
Mukherjee Satyadip
Karmakar Dilip
Das Ranjit Kumar
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Abstract
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16-year-old female presented with dribbling of urine along with voluntary voiding since birth. Renal imaging revealed hydroureteronephrosis on the right side; the uterus and ovary were normal. A radionuclide scan showed a left nonfunctional kidney. On cystovaginoscopy, the urethra was shown to be normal and the urinary bladder was tubular with small capacity and an absent trigone. Although the vagina was capacious, no ureteric orifices were found. Computed tomography corroborated the diagnosis of bilateral, single ectopic ureters draining into a grossly dilated vagina. This case is unique because it is a bilateral single-system ureteral ectopia in a completely differentiated female genital tract that presented late in adolescence. To the best of our knowledge, this is the second such ureteral abnormality reported in the literature so far. The patient underwent ileocystoplasty with right ureteric reimplantation and nephroureterectomy for the left nonfunctional kidney, which histopathology showed to be tuberculosis. The patient is continent with cystometric capacity of more than 300 mL.
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KEYWORD
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Abnormalities, Ureter
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