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

Armando E. Hernandez-Rey, Jack H. Vitenson, Peter G. McGovern
In: Fertility and Sterility · 2007 · vol. 88(6) , pp. 1677.e1–1677.e3 · doi:10.1016/j.fertnstert.2007.01.133 · PMID:17482175 · W1972441558
article OA: closed CC0 ⤵ 1 in-corpus citation
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Abstract

ObjectiveTo 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).DesignCase report.SettingA 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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