Congenital ureterovaginal fistula and a duplicated left ectopic ureter: A rare case in Tanzania.

Autor:	Moshi B; Department of Obstetrics and Gynecology, Aga Khan University Medical College, Dar es Salaam, Tanzania., Gidion D; Department of Obstetrics and Gynecology, Aga Khan University Medical College, Dar es Salaam, Tanzania., Abeid M; Department of Obstetrics and Gynecology, Aga Khan University Medical College, Dar es Salaam, Tanzania., Kaguta M; Department of Obstetrics and Gynecology, Aga Khan University Medical College, Dar es Salaam, Tanzania., Chapa J; Department of Obstetrics and Gynecology, Community Based Rehabilitation in Tanzania, Dar es Salaam, Tanzania., Majinge P; Department of Obstetrics and Gynecology, Community Based Rehabilitation in Tanzania, Dar es Salaam, Tanzania.
Jazyk:	angličtina
Zdroj:	SAGE open medical case reports [SAGE Open Med Case Rep] 2024 Oct 07; Vol. 12, pp. 2050313X241287078. Date of Electronic Publication: 2024 Oct 07 (Print Publication: 2024).
DOI:	10.1177/2050313X241287078
Abstrakt:	This case report presents the clinical journey of a 28-year-old nulliparous woman from Dar es Salaam, Tanzania, who sought medical attention due to lifelong urinary leakage since birth, profoundly impacting her emotional well-being and sexual encounters. Clinical examination revealed urinary leakage from the vagina, with unremarkable abdominal and genital findings. Laboratory investigations were normal. Computed tomography intravenous urography revealed a left duplex collecting system with significant hydroureteronephrosis in the left upper moiety, suggestive of an ectopic ureter. Intraoperative exploration confirmed a duplicated left ureter, with the upper moiety implanted into the vaginal canal. Surgical re-implantation of both left ureters into the bladder was successfully performed, correcting the anatomical anomaly. Postoperative follow-up demonstrated marked improvement in urinary symptoms, restoring the patient's confidence and alleviating emotional distress. This case underscores the complexity and rarity of congenital urinary tract anomalies, particularly in resource-constrained settings, and highlights the importance of a stepwise diagnostic and management approach. Competing Interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2024.)
Databáze:	MEDLINE
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