Abstract
The presence of an ectopic ureter may be indicated by continuous wetting, despite a normal voiding pattern, especially in girls. In most cases, an ectopic ureter is associated with a duplex collecting system and complete ureteral duplication. A 5-year-old girl presented with urinary incontinence regardless of the successful toilet training and a suspicion of left duplex kidney on a previous ultrasound. Contrast-enhanced computed tomography revealed a double left kidney with double ureters, both inserting together into the vagina. The surgical treatment consisted in the “en block” reimplantation of the ectopic ureters into the bladder, with complete resolution of the symptoms. The reported case does not represent just a typical presentation of a single ectopic ureter, as the duplex kidney system had ectopic both ipsilateral ureters (with insertion into the vagina). This case reminds us that congenital abnormalities of the genito-urinary tract should be considered in case of urinary incontinence and recurrent urinary tract infections.
Highlights
A constant urinary leakage is a common problem during childhood, but generally there is no underlying abnormality of the urinary tract
Urinary incontinence is the main symptom of an ectopic ureter, especially in females, while in both sexes, an ectopic ureter may present as a prenatal diagnosis because of a urinary tract infection (UTI), or congenital obstructive uropathy [1].These two risk factors can lead to chronic renal failure
Our child is a very rare case of double ureteral ectopia presenting with continuous urinary dribbling and this report highlights the challenges in the diagnosis and treatment of this rare condition
Summary
1 1st Department of Paediatrics, University of Medicine and Pharmacy, Târgu Mures , Romania, 2 Radiology Department, University of Medicine and Pharmacy, Târgu Mures , Romania, 3 Pediatric Nephrology Department, Emergency Clinical Hospital for Children Cluj-Napoca, Cluj-Napoca, Romania. Reviewed by: Francisco Javier Reed, Hospital Exequiel Gonzalez Cortes and Clinica Santa Maria, Chile. The reported case does not represent just a typical presentation of a single ectopic ureter, as the duplex kidney system had ectopic both ipsilateral ureters (with insertion into the vagina). This case reminds us that congenital abnormalities of the genito-urinary tract should be considered in case of urinary incontinence and recurrent urinary tract infections
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