DOI: http://dx.doi.org/10.18203/2349-2902.isj20201410

Non-endoscopic management of a giant ureterocele: a case report in resource poor African hospital

Usman Mohammed Tela, Babatunde David Olajide, Abdu Mohammed Lawan

Abstract


Ureterocele is a cystic dilatation of the distal sub mucosal part of the ureter. It is a congenital anomaly that may co-exist with other anomalies. It has an incidence 1 in 4000 live births. Patients present with symptoms at paediatric age or may remain asymptomatic till adulthood.  Our 30 year old female patient was assessed for a giant orthotropic right ureterocele with obstructive uropathy, in a hospital that has no modern facilities for endoscopic treatment. She then had successful open surgical repair of the ureterocele with satisfactory outcome. Minimally invasive endoscopic treatment options remains the gold standard.  Patients from poor resource regions can as well be treated successfully by open surgical repair like our index case presented.

 

 


Keywords


Case report, Obstructive uropathy, Ureterocele

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References


Zderic SA, Lambert SM. Developmental abnormalities of the genitourinary system. In: Avery's disease of the Newborn, 9th edn. WB Saunders; 2012: 1191-1204.

Atta ON, Alhawari HH, Murshidi MM, Tarawneh E, Murshidi MM. An adult ureterocele complicated by a large stone: A case report. Int J Surg Case Rep. 2018;44:166-71.

Harris CR, Alwaal A, Yang G, Eisenberg ML, Breyer BN. Adult ureterocele presenting with ureteral obstruction and urosepsis during pregnancy. Urol J. 2015;12(4):2285-6.

Chhetri P, Malla S. Ureterocele- case report. J Coll Med Sci Nepal. 2010;6(2):38-41.

Murshidi MS. Orthotopic and ectopic ureteroceles in children. Int Urol Nephrol. 1990;22(1):45-56.

Muhammed A, Hussaini MY, Ahmad B, Hyacinth MN, Garba KD, Garba. Ureterocele in adults: management of patients in Zaria, Nigeria. Arch Int Surg. 2012;2:24-8.

Sinha RK, Singh S, Kumar P. Prolapsed ureterocele, with calculi within, causing urinary retention in adult female. BMJ Case Rep. 2014;2014:bcr2013202165.

Brodeur AR, Andonian S. Adult bilateral ureteroceles presenting with lower urinary tract symptoms and acute urinary retention. Case Rep Urol. 2018;3186060.

Caione P, Gerocarni NS, Collura G, Matarazzo E, Bada M, Del Prete L, et al. Minimally invasive laser treatment of ureterocele. front. Pediatr. 2019;7:106.

Lewis JM1, Cheng EY, Campbell JB, Kropp BP, Liu DB, Kropp K, et al. Complete excision or marsupialization of ureteroceles: does choice of surgical approach affect outcome? J Urol. 2008;180(4):1819-23.