A CASE OF ECTOPIC URETER WITH VAGINAL INSERTION - ADULT PRESENTATION

Complete duplication and an ectopic ureter are rarely identified in adulthood. Continous dribbling and incontinence with normal micturition is the classic feature in females (1).Here we present a case report of seventeen year old female with continuous incontinence since birth with episodes of recurrent UTI.The case was evaluated with imaging and found to have a right duplex system with an upper pole moiety ureter with ectopic insertion in to the vagina. MagneticResonance urogram (MRU) was very useful to delineate the ectopic ureteric insertion.The poorly functioning upper pole moiety was diagnosed with nuclear study.Right upper pole heminephrectomy was done with excision of the ureteric stump. The post operative period was uneventful.