Clinical Report: Ectopic Ureteral Opening into the Vagina in an Adult Female
Background
Ectopic ureters are often associated with duplex kidneys and typically present in childhood with continuous urinary incontinence. However, adult presentations, particularly with renal colic and vaginal discharge, are uncommon and can lead to misdiagnosis.
Data Highlights
No numerical or trial data available.
Key Findings
A 26-year-old woman presented with renal colic and intermittent vaginal discharge.
Imaging revealed a right duplex kidney with a dilated upper-pole ureter terminating in the vagina.
Ureteroscopy showed a normal ureteric orifice, leading to a false-negative diagnosis.
Laparoscopic exploration identified a 2-cm ectopic ureter behind the broad ligament.
Surgical intervention included ligation of the ectopic ureter and ureteroneocystostomy, resulting in symptom resolution.
Clinical Implications
This case highlights the importance of considering ectopic ureters in adult women presenting with renal colic and vaginal discharge, even when initial ureteroscopy appears normal.
