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International Journal of Pediatric Nursing

Volume  5, Issue 2, May-August 2019, Pages 93-95
 

Case Report

Bilateral Ectopic Ureter : A Case Report with Literature Review

Seema Maheswari A

Nursing Tutor, All India Institute of Medical Sciences, Raipur, Chhattisgarh 492099, India.

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DOI: DOI: http://dx.doi.org/10.21088/potj.0974.5777.5219.10

Abstract

An ectopic ureter is a rare congenital renal anomaly that occurs as a result of abnormal caudal migration of the ureteral bud during its insertion to the urinary bladder [1]. Ectopic ureter is referred as the ureter is not having direct connection with the bladder and also it drains urine outside of the bladder [2,12,13]. In 80% of the ectopic uretercases, associated with a duplex collecting system [3,11]. A 3-year-5month-old girl presented with urinary incontinence from her birth regardless of achieving successful voiding pattern. Cystoscopy and genitoscopy was performed for the child and revealed small capacity of urinary bladder and also ureter opening was not able to identify. Contrast-enhanced computed tomography was done for the child and revealed a very small bladder and is not seen to jointed bytheir dilated ureters inserted in to bladder neck. The present case underwent surgical treatment likeuretericreimplantation of the ectopic ureters back into the bladder, with the partial resolution of the symptoms. The reported case does not represent any other symptoms except leakage or dribbling of urine from the birth. The presented case reminds us that congenital renal anomalyshould be considered even if any child had complaints of urinary incontinence from the birth. The child should be treated immediately.

Keywords: Ectopic ureter; Incontinence; Computed tomography; Child


Corresponding Author : Seema Maheswari A