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Am J Perinatol 1995; 12(3): 174-177
DOI: 10.1055/s-2007-994445
ORIGINAL ARTICLE

© 1995 by Thieme Medical Publishers, Inc.

Prenatal Sonographic Diagnosis and Subsequent Conservative Surgical Management of Bilateral Ureteroceles

David M. Sherer, William C. Hulbert
  • Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology and Department of Urology, Strong Memorial Hospital, University of Rochester School of Medicine and Dentistry, Rochester, New York
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Publication History

Publication Date:
04 March 2008 (online)

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ABSTRACT

Prenatal sonographic diagnosis of ureteroceles usually involves clearly duplicated urinary collecting systems associated with ectopic ureters draining the upper renal moieties. We present an unusual case in which an initial sonographic examination was consistent with bilateral orthotopic ureteroceles in association with bilateral single renal systems. The possibility of single systems raised perinatal considerations unique to this anomaly. Repeat prenatal sonography was suggestive of duplex systems and subsequently confirmed as such by neonatal ultrasound and voiding cystourethrogram. At the age of 1 month, the infant underwent bilateral ipsilateral ureteroureterostomy with conservation of the bilateral dilated upper renal moieties. We discuss the possible pathophysiology underlying the different conflicting sonographic findings and address current management of such lesions.

Keywords

Ureteroceles - duplicated urinary collecting systems - sonography

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