A 12-year-old boy with an infected ectopic ureter presenting with acute appendicitis-like symptoms and acute scrotum.
An ectopic ureter draining into the seminal vesicle or vas deferens in males is a very rare anomaly and is usually associated with renal dysplasia or agenesis. An ectopic ureter associated with a dysplastic kidney is not usually a suspected cause during clinical evaluation of children with abdominal pain. This report presents a rare case of an ectopic ureter associated with a dysplastic kidney with an acute infection in a previously healthy 12-year-old boy, demonstrated by magnetic resonance imaging. He presented with abdominal pain that mimicked acute appendicitis-like symptoms which was subsequently complicated by epididymitis manifesting as an acute scrotum. Clinicians should consider including an ectopic ureter in the differential diagnosis of children presenting with acute abdomen.
Department of Emergency Medicine, Chung Shan Medical University Hospital, Taichung, Taiwan, ROC.
Wei-Yueh
WY
Chu
Teng-Fu
TF
Tsao
Sung-Lang
SL
Chen
Hung-Ming
HM
Chang
Shan-Ming
SM
Chen
Chih-Yi
CY
Chen
Ko-Huang
KH
Lue
Ji-Nan
JN
Sheu
D000006:Abdomen, Acute / Q000209:etiology; D001064:Appendicitis / Q000175:diagnosis*; D002648:Child; D002828:Choristoma / Q000150:complications / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004823:Epididymitis / Q000150:complications / Q000175:diagnosis; D006801:Humans; D007239:Infections / Q000150:complications / Q000175:diagnosis*; D007668:Kidney / Q000002:abnormalities*; D008279:Magnetic Resonance Imaging; D008297:Male; D012669:Seminal Vesicles / Q000473:pathology*; D014513:Ureter