Ureterocoele - infant

Case contributed by Dr Laughlin Dawes

Presentation

Antenatal history of right renal pelvis dilatation.

Patient Data

Age: 2 weeks
Gender: Male
Ultrasound

Rounded cystic structure within the bladder, to the right of midline. Some echogenic debris can be seen within the structure. The appearance is characteristic of a ureterocele.

Case Discussion

A ureterocele is a congenital dilatation of the intramucosal portion of the ureter. A ureterocele may be simple or ectopic. Ectopic ureterocele is almost always associated with a duplicated collecting system, and is more common than the simple type. Ureterocele may be associated with either reflux or obstruction. A ureterocele may prolapse into the bladder neck and cause bladder outlet obstruction. The prognosis is related to the degree of associated reflux or obstruction.

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