Duplicated ectopic hydroureter presenting as a hydrosalpinx, with chronic pelvic pain and recurrent urinary infections

Armando E. Hernandez-Rey, Jack H. Vitenson, Jack Vitenson, Peter G. McGovern
Fertility and sterility · 2007 · vol. 88(6) , pp. 1677.e1–1677.e3 · doi:10.1016/j.fertnstert.2007.01.133 · PMID:17482175 · W1972441558
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A case report describes a 37-year-old woman with chronic pelvic pain and recurrent urinary tract infections caused by a duplicated left ureter presenting as hydrosalpinx, which resolved after laparoscopic resection.

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Abstract

OBJECTIVE: To present a case of a patient with a duplicated left ureter presenting preoperatively as unilateral hydrosalpinx, chronic pelvic pain, and recurrent urinary tract infections (UTIs). DESIGN: Case report. SETTING: A large university-affiliated infertility center. PATIENT(S): A 37-year-old woman, para 1, with an 18-year history of recurrent UTIs associated with coitus, and chronic pelvic pain with a unilateral hydrosalpinx. MAIN OUTCOME MEASURE(S): Resolution of recurrent UTIs and left flank pain. RESULT(S): The patient has remained symptom free after laparoscopic resection of the duplicated ureter and portion of the bladder at its point of insertion. CONCLUSION(S): We show a rare case of a duplicated left ureter presenting as chronic pelvic pain and recurrent UTIs, demonstrating the importance of a thorough chronic pelvic pain workup.

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Condition tags

chronic_pelvic_pain

MeSH descriptors

Choristoma Fallopian Tube Diseases Fallopian Tubes Fallopian Tubes Pelvic Pain Ureter Ureteral Diseases Urinary Tract Infections Adult Choristoma Choristoma Diagnosis, Differential Fallopian Tube Diseases Female Humans Pelvic Pain Pelvic Pain Recurrence Ureter Ureteral Diseases

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License: CC0 · commercial use OK