Ectopic ureter with massive hydroureter and renal atrophy
Left flank pain.
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Ectopic insertion of the left ureter into the prostatic urethra, probably via the left seminal vesicle. Massive left hydroureter and hydronephrosis with very little renal tissue remaining. Normal right kidney.
The patient was continent, so presumably the insertion is above the external urethral sphincter. Ectopic ureters are commonly associated with duplex kidneys and VACETRL abnormalities.