title: Unusual anatomic presentation of ectopic ureteroceles.
abstract: The authors describe four patients with unusual anatomic presentation of ectopic ureteroceles and their surgical treatment. Over a 3-year period, four cases of unusual ectopic ureteroceles were encountered. A 6-month-old girl had a complex cloacal anomaly with an ectopic ureterocele within the cloaca. A 10-year-old boy had two large diverticuli within an ectopic ureterocele combined with a blind-ending ipsilateral ureter. A 3-year-old girl had an ectopic ureterocele combined with a periureteral diverticulum and a completely duplicated ipsilateral kidney. A 4-year-old girl was found to have a vaginal ectopic ureterocele. Despite thorough radiological investigation in all patients, a correct assessment of the anatomic defect was achieved only by surgical exploration or endoscopic evaluation. If preoperative radiological evaluation is equivocal, a high index of suspicion and intraoperative recognition of an unusual anatomic presentation of the ectopic ureterocele are essential for appropriate management and a successful outcome.
authors.affiliation: Children's Hospital Medical Center, Cincinnati, OH, USA.
authors.forename: E
authors.initials: E
authors.lastname: Minevich
authors.forename: A
authors.initials: A
authors.lastname: Moayed
authors.forename: J
authors.initials: J
authors.lastname: Wacksman
authors.forename: A G
authors.initials: AG
authors.lastname: Lewis
authors.forename: C A
authors.initials: CA
authors.lastname: Sheldon
mesh_terms: D002648:Child; D002675:Child, Preschool; D004240:Diverticulum / Q000150:complications; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D011859:Radiography; D014513:Ureter / Q000002:abnormalities; D014515:Ureteral Diseases / Q000150:complications; D014518:Ureterocele / Q000150:complications* / Q000151:congenital / Q000000981:diagnostic imaging / Q000601:surgery