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A case of ectopic dysplastic kidney and ectopic ureter diagnosed by MRI

Nature Clinical Practice Urology volume 5, pages 632–636 (2008)Cite this article

Abstract

Background A 14-year-old girl with a solitary right kidney had continuous urinary incontinence. Four months previously she had undergone surgical resection of a vaginal septum associated with uterus didelphys, which was causing obstructed menstrual flow. She was toilet trained at the age of 2 years, had a normal voiding pattern, and had no history or family history of incontinence.

Investigations Pelvic examination, abdominal and pelvic ultrasonography, renal scintigraphy, voiding cystourethrography, abdominal and pelvic MRI, fluoroscopic retrograde vaginography, vaginoscopy, cystourethroscopy after administration of indigo carmine, laparoscopy, and pathologic examination of the excised specimen.

Diagnosis Ectopic ureter draining into the vagina associated with a contralateral dysplastic kidney.

Management Laparoscopic nephrectomy of the left renal remnant and ligation of the left distal ureter.

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Figure 1: Renal scintigraphy: 99mTc-dimercaptosuccinic acid planar renogram, 2. 1 mCi.
Figure 2: MRI of the patient's abdomen and pelvis.

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Authors and Affiliations

  1. DT Duong is a Chief Resident in Urology at Stanford University Medical Center and LMD Shortliffe is the Stanley McCormick Memorial Professor and Chair of the Department of Urology at Stanford University School of Medicine, and Chief of Pediatric Urology at Lucile Packard Children's Hospital, Stanford, CA, USA.,

    David T Duong & Linda MD Shortliffe

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  1. David T Duong
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  2. Linda MD Shortliffe
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Correspondence to Linda MD Shortliffe.

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The authors declare no competing financial interests.

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Duong, D., Shortliffe, L. A case of ectopic dysplastic kidney and ectopic ureter diagnosed by MRI. Nat Rev Urol 5, 632–636 (2008). https://doi.org/10.1038/ncpuro1220

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