PSEUDOURETEROCELE - POTENTIAL FOR MISDIAGNOSIS OF AN ECTOPIC URETER AS A URETEROCELE

Objective To present several case reports of children with 'pseudouret eroceles'. Familiarization with this entity should help to avoid an er ror in diagnosis and possible improper therapy. Patients and methods T hree girls with ectopic ureters entering mesonephric duct cysts are pr esented for review. Results Misdiagnosis of the pseudoureterocele as a n ectopic ureter was made in two children, The 'pseudoureterocele' may lie dormant for many years and often presents with acute urinary inco ntinence and/or onset of urinary tract infections. Resection of the dy splastic kidney and ipsilateral ureter, marsupialization of the cyst i nto the vagina, and closure of the vesical fistula is the preferred tr eatment. Conclusion An ectopic ureter draining into a Gartner's duct c yst can be confused with an ectopic ureterocele, Correct diagnosis is vital to ensure proper treatment.