Abstract
Üreterin normal dışı bir noktaya açılmasıyla karakterize edilen ektopik üreter, genellikle distal Wolff kanalı gelişim bozukluklarına bağlı olarak ortaya çıkar. Kız çocuklarında daha sık görülür ve genellikle üretraya, vestibüle veya daha nadiren vajina üst kısmı ile uterusa açılır. Bilateral olgular nadir olup tanısal hatalara neden olabilir. Bu vakada, sürekli idrar kaçırma şikayetiyle başvuran 14 yaşındaki bir kız çocuğunda, ilk operasyonla tek taraflı nefroüreterektomi uygulanmış; ancak şikâyetlerin devamı üzerine karşı taraf ektopik üreter varlığı saptanarak ikinci operasyonla düzeltme yapılmıştır. Hasta şikâyetsiz hale gelmiş ve bu nadir anomalide tanı ve cerrahi yaklaşım açısından önemli ipuçları elde edilmiştir.
References
- 1 - Barret DM, Malek RS, Kelalis PP: Problems and solutions in surgical treatment of 100 consecutive ureteral duplication in children, J Urol, 114:126, 1975.
- 2 - Campbell MF: Anomalies of the ureter, Urology, Campbell and Harrison, Vol. 2, 1970.
- 3 - Göğüş O, Özdiler E, Ayder AR, Öztek O: Ektopik ureterosel ve cerrahi tedavisi, A.Ü. Tıp Fak. Mec., 1981 (Baskıda).
- 4 - Kelalis PP: Anomalies of the urinary tract (Renal pelvis and ureter), Clinical Pediatric Urology, Ed. Kelalis PP, W.B. Saunders Co., USA, 509, 1976.
- 5 - Kjellberg SE, Ericsson NE, Rudhe U: The lower urinary tract in childhood: Some correlated clinical and roentgenologic observations, Year Book Medical Publishers, Chicago, 1968.
- 6 - Malek RS, Kelalis PP, Stickler GB: Observations on ureteral ectopy in children, J Urol, 107:308, 1972.
- 7 - Mandel J, Bauer SB, Colondny AH, Lebowitz RL, Retik AB: Ureteral ectopia in infants and children, J Urol, 126:219, 1981.
- 8 - Timothy RP, Decter A, Perlmutter AD: Ureteral duplication. Clinical findings and therapy in 46 children, J Urol, 105:445, 1971.
- 9 - Williams DI, Royle M: Ectopic ureter in the male child, Brit J Urol, 41:421, 1969.
Abstract
Ectopic ureter refers to the abnormal termination of the ureter outside its usual location, typically due to developmental anomalies of the distal Wolffian duct. It is more commonly observed in females and frequently opens into the proximal urethra, vestibule, or, less commonly, upper vagina or uterus. Bilateral presentations are rare and may cause diagnostic errors. This case involves a 14-year-old girl presenting with continuous urine leakage. Initial investigations led to a unilateral nephroureterectomy, but postoperative persistence of symptoms revealed a contralateral ectopic ureter. A second surgery corrected the anomaly, and the patient became symptom-free. The case highlights challenges in localization and diagnosis, and reviews literature regarding clinical and surgical management of bilateral ectopic ureters.
References
- 1 - Barret DM, Malek RS, Kelalis PP: Problems and solutions in surgical treatment of 100 consecutive ureteral duplication in children, J Urol, 114:126, 1975.
- 2 - Campbell MF: Anomalies of the ureter, Urology, Campbell and Harrison, Vol. 2, 1970.
- 3 - Göğüş O, Özdiler E, Ayder AR, Öztek O: Ektopik ureterosel ve cerrahi tedavisi, A.Ü. Tıp Fak. Mec., 1981 (Baskıda).
- 4 - Kelalis PP: Anomalies of the urinary tract (Renal pelvis and ureter), Clinical Pediatric Urology, Ed. Kelalis PP, W.B. Saunders Co., USA, 509, 1976.
- 5 - Kjellberg SE, Ericsson NE, Rudhe U: The lower urinary tract in childhood: Some correlated clinical and roentgenologic observations, Year Book Medical Publishers, Chicago, 1968.
- 6 - Malek RS, Kelalis PP, Stickler GB: Observations on ureteral ectopy in children, J Urol, 107:308, 1972.
- 7 - Mandel J, Bauer SB, Colondny AH, Lebowitz RL, Retik AB: Ureteral ectopia in infants and children, J Urol, 126:219, 1981.
- 8 - Timothy RP, Decter A, Perlmutter AD: Ureteral duplication. Clinical findings and therapy in 46 children, J Urol, 105:445, 1971.
- 9 - Williams DI, Royle M: Ectopic ureter in the male child, Brit J Urol, 41:421, 1969.
Details
| Primary Language | English |
|---|---|
| Subjects | Obstetrics and Gynaecology |
| Journal Section | Articles |
| Authors | |
| Publication Date | December 31, 1981 |
| Published in Issue | Year 1981 Volume: 34 Issue: 4 |