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Case Reports
. 2022 Feb 15;60(246):204-206.
doi: 10.31729/jnma.6570.

Duplex Collecting System with Ectopic Ureters Opening into Vagina: A Case Report

Suraj Singh  1 , Sulochana Dahal  1 , Anuj Kayastha  1 , Bijay Thapa  1 , Anupama Thapa  1
Affiliations
Case Reports

Duplex Collecting System with Ectopic Ureters Opening into Vagina: A Case Report

Suraj Singh et al. JNMA J Nepal Med Assoc. .

Abstract

Continuous urinary leakage, along with normal deliberate voiding, must suggest diagnosis of ectopic ureter, specifically in girls. Combination of a duplicated collecting system with distal, infra-sphincteric, vaginal insertion of ureter is an uncommon congenital anomaly and rare cause of urinary incontinence. We present a case report of a 7-year-old girl who presented to the urology department with urinary incontinence despite successful toilet training and history of recurrent urinary tract infections. Right duplex collecting system was seen on ultrasound. Magnetic resonance urography revealed a near complete right duplex collecting system with ectopic insertion of ureter into vagina, and aplastic uterus with bilateral normal ovaries suggestive of Mayer-Rokitansky-Kuster-Hauser syndrome. Surgical treatment consisted of "common sheath" reimplantation of ectopic ureters into bladder, with complete resolution of symptoms. This case suggests to us that congenital abnormalities of the genitourinary tract should be considered in case of urinary incontinence and recurrent urinary tract infections.

Keywords: ectopic; ureter; urinary incontinence; vagina..

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Conflict of interest statement

None.

Figures

Figure 1
Figure 1. Preoperative CT urogram.
Figure 2
Figure 2. Preoperative Magnetic resonance urography.
Figure 3
Figure 3. Intraoperative findings revealing duplex ureter.
See this image and copyright information in PMC

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