Ureteric reimplantation

Case contributed by Chris O'Donnell
Diagnosis certain

Presentation

History of primary megaureter on the left treated by excision and reimplantation into the bladder. Recent loin pain.

Patient Data

Age: 35 years
Gender: Male
ct

Distal left ureter is a little dilated and enters the left bladder dome rather than at the trigone.  This is the site used for reimplantation.  Note the distal ureter is thick-walled due to scarring but not obstructed.  The distal right ureter enters the bladder in its normal place at the trigone.

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