The role of dynamic magnetic resonance urography in complex neonatal hydrometrocolpos

Abstract

Urinary hydrometrocolpos is rarely diagnosed and is most often attributed to a persistent urogenital sinus or a cloaca. We report the case of a neonate in which the use of dynamic MRI allowed accurate preoperative diagnosis of urinary hydrometrocolpos secondary to ectopic drainage of a small left pelvic kidney, associated with a bicornuate uterus.

Y-type partial duplication of a vaginal ectopic ureter with ipsilateral hypoplastic pelvic kidney and bicornuate uterus

“…During gestation, abnormal development of the mesonephric (wolffian) and paramesonephric (mullerian) ductal systems results in ureteric ectopia, which subsequently leads to the maldevelopment, absence, or ectopia of the ipsilateral kidney. (1,2) this is, to the best of our knowledge, the first report of the concurrent coexistence of all of these anomalies in an individual. ABSTRACT We present a case of vaginal ectopic ureter with ipsilateral partial duplication of the upper ureter (Y-type ureter), ipsilateral hypoplastic pelvic kidney and bicornuate uterus in a 20-year-old woman, who presented with mild urinary incontinence since infancy.…”

“…(2) It is able to accurately depict dysplastic ectopic renal tissue, the entire course of an ectopic ureter, and the ectopic ureter's site of insertion. …”