Congenital ureterovaginal fistula and a duplicated left ectopic ureter: A rare case in Tanzania
Document Type
Case Report
Department
Obstetrics and Gynaecology (East Africa)
Abstract
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
Publication (Name of Journal)
SAGE Open Medical Case Reports
DOI
https://journals.sagepub.com/doi/pdf/10.1177/2050313X241287078
Recommended Citation
Moshi, B., Gidion, D., Abeid, M., Kaguta, M., Chapa, J., & Majinge, P. (2024). Congenital ureterovaginal fistula and a duplicated left ectopic ureter: A rare case in Tanzania. SAGE Open Medical Case Reports, 12, 2050313X241287078.
