Duplicated left ectopic ureter with ureterovaginal fistula in a Nigerian girl

Abstract

The purpose of this case report is to relate our experience with the challenges in the management of this extremely rare case. Our report is on an 18-year-old girl who presented with dribbling of urine per vagina since birth. Her voiding pattern was paradoxical. Clinical examination only revealed pooling of urine in the vaginal vault. A suspected diagnosis of a duplicated collecting system with ectopic left ureteral implantation was made following computed tomography (CT) urography. She had upper pole left ureteral tapering and reimplantation. A duplicated collecting system can be asymptomatic. Urinary incontinence in a young patient with associated urinary sepsis should arouse suspicion of this condition. The patient regained continence after the surgery.