AN ECTOPIC URETER WITH AN ABERRANT CONNECTION TO THE IPSILATERAL INTRA-ABDOMINAL TESTIS ASSOCIATED WITH A REFLUXING IPSILATERAL MEGAURETER AND AN AGENETIC CONTRALATERAL KIDNEY

AN ECTOPIC URETER WITH AN ABERRANT CONNECTION TO THE IPSILATERAL INTRA-ABDOMINAL TESTIS ASSOCIATED WITH A REFLUXING IPSILATERAL MEGAURETER AND AN AGENETIC CONTRALATERAL KIDNEY
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Title:AN ECTOPIC URETER WITH AN ABERRANT CONNECTION TO THE IPSILATERAL INTRA-ABDOMINAL TESTIS ASSOCIATED WITH A REFLUXING IPSILATERAL MEGAURETER AND AN AGENETIC CONTRALATERAL KIDNEY
Author/Abstract:
Frances Monette P. Bragais, MD and Jose Dante P. Dator, MD

Department of Urology, National Kidney and Transplant Instituteal

A two and half-year old boy with multiple congenital anomalies underwent re-implantation of right ureter in the first year of life. He presented then with a Grade IV reflux and hypertension. He also had recurrent episodes of febrile urinary tract infection (UTI) and voiding cystourethrogram (VCUG) and intravenous pyelography (IVP) revealed a right double collecting system with a Grade II reflux in one of the ureters. Cystoscopy and retroperitoneal exploration revealed an ectopic ureter which was located lateral to the re-implanted ureter. Its proximal end terminated in the right intraabdominal cryptorchid testis located lateral to the right kidney. Right ureterectomy and orchiectomy was done. Histopathologic analysis of the specimen confirmed the specimen to be the ureter and the testis. The presentation is unusual and the first reported case of the proximal end of an ectopic ureter attached to the epididymis.

Key words: Unilateral renal agenesis, vesicoureteral reflux, cryptorchid testis, ureter, vas deferens
 
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