Dirk Schaper, V. Hofmann (Halle/S.)  

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Newborn  

N/A  

Pelvis-Urinary bladder  

congenital  

The diagnosis of a urinary retention was made prenatally in the 24th gestational week, postnatally the findings were proven. Urinary retention grade III in both buds of the left kidney. Depiction of a cystic tumor on the left hand side of the floor of the bladder.  

N/A  

<- view Ultrasound 1

Ultrasound 1: Transverse lower abdomen, filled urinary bladder with cystic, non-growing mass on the left, which fills 2/3 of the bladder, paravesicular megaureter without peristalsis on the left.




<- view Ultrasound 2

Ultrasound 2: Longitudinal lower abdomen, Bladder with a cystic structure at the floor of the bladder, rigid megaureter seen retrovesically left.




<- view Ultrasound 3

Ultrasound 3: Left flank, large kidney with urinary retention III° of the lower buds, upper bud with its megaureter is filled with fluid which is without parenchyma.




<- view X-Ray 1

X-Ray 1: Urogram, right kidney within normal limits, left urinary retention with tortuous megaureter, typical absence of contrast in the bladder to the left.






<- view OP-Situs 1

OP-Situs 1: Upper section, Representation of the uterocele which filled the bladder.




<- view OP-Situs 2

OP-Situs 2: Ureterocele after puncture, pulled caudally, the right ostium is where it should be and is splinted with a catheter. The left Ostium of the lower bud is also splinted with a catheter, which lies cranio-medially of the upper ureterocele.

 

Surgery / Histo  

N/A  

Because of increasing obstruction of the opposite side and urination impairment, a sectio alta was performed. Ureterocele was slit was performed at 3 weeks, intraoperative depiction of the cele with extension into the urethra.  

N/A  

N/A  

1. Medline:
S.M. Whitten, M. McHoney, D.T. Wilcox, S. New, L.S. Chitty
Accuracy of antenatal fetal ultrasound in the diagnosis of duplex kidneys.
Ultrasound Obstet Gynecol 2003 Apr;21(4):342-6

2. Medline:
W. DeFoor, E. Minevich, L. Tackett, U.Yasar, J. Wacksman, C.Sheldon
Ectopic ureterocele: clinical application of classification based on renal unit jeopardy.
J Urol 2003 Mar;169(3):1092-4  

Ureterocele, double kidney, ectopic ureterocele, urinary retention, grade III, megaureter, child, childhood, pediatric radiology  

Dirk Schaper, V Hofmann. Ectopic ureterocele. PedRad [serial online] vol 3, no. 5.
URL: www.PedRad.info/?search=20030508135639