A review of 54 consecutive cases of ectopic ureterocele treated at our
institution in the last 15 years revealed 4 cases of the cecoureteroc
ele variant. Although the diagnosis of ectopic ureterocele was made pr
eoperatively, the more accurate diagnosis of cecoureterocele was not s
uggested by preoperative radiographic studies. The cecocele component
was disclosed only at endoscopy or during open resection of the ureter
ocele. A review of the presentation, preoperative assessment, intraope
rative management and outcome of each case of unsuspected cecoureteroc
ele suggests that optimal surgical management of the cecocele itself d
oes not require total removal.