Dual Challenge of a Cecoureterocele with Calculus: A rare case report

Abstract

Ureteroceles are the most prevalent urinary tract malformations in humans. Only 5% of ureteroceles are predicted to prolapse and it usually occurs in childhood. We outline the clinical history, radiological results, and a potential course of treatment for this challenging condition. A 32-year-old female checked herself into our institution with complaints of burning urination and 20 years of complaints of urethral ballooning when urinating. Initial sonographic evaluation revealed that at the left vesicoureteric junction, a cystic lesion extends into the bladder, with a hyperechoic focus causing posterior acoustic shadowing. CT scan confirmed the diagnosis of an ureterocele with calculus. A voiding cystourethrogram revealed a left-sided ureterocele that descends down the urethra and into the interlabial region. CT cystogram verified the presence of a left-sided cecoureterocele with calculus. Cecoureterocele is a rare variant of ectopic ureteroceles. Girls experience this condition more frequently than boys, and they are predisposed to vesicoureteric reflux and recurrent infections. To prevent problems like renal function loss, recurrent urinary tract infections, and urinary incontinence, it is important to gain diagnostic confirmation of these circumstances. Less invasive surgical techniques like endoscopic ureterocele puncture or even nonoperative treatment appear to produce comparable functional outcomes. When a patient arrives with a urethral protrusion, one should be extra cautious. In this case report, a cecoureterocele that has prolapsed is presented in a rare way. It presents an important chance to evaluate the clinical and diagnostic characteristics of this urinary tract abnormality.

Keywords

• Cecoureterocele
• Voiding cystourethrography
• Computed tomography
• Ureterocele
• Calculus
• Prolapse