Rare Case of Recurrent Fetal Familial Uretrocele

Abstract

Submit Manuscript | http://medcraveonline.com performed in the prior visit revealed a single viable female fetus. The follow up ultrasound in the 19 th week of gestation showed normal amniotic fluid volume and left-sided unilateral hydroneprosis with a full-distended bladder. Additionally, thinning out of the parenchyma and a dilated left ureter ending in a large left ureterocele. Douplex kidney was suspected. There was no any other abnormal scan findings. The patient was closely monitored. In the 22nd week of gestation an ultrasound scan showed left renal anterior posterior (AP) dilation, which measured 9 mm with normal kidney function indicated by normal liquor and a distended bladder. The dilatation increased to 18 mm in the 26 th week seen by ultrasound scan, and no other abnormalities were noted (Figure 1). Subsequent antenatal and ultrasound were showed no marked changes in these findings. AbstractWe presented a rare case of familial recurrent Ureterocle and duplex right kidney. The diagnosis was made at the anomaly scan at 19 weeks. Our patient is a case of first-degree consanguineous marriage with multiple miscarriages, two daughters with congenital ureteroceles and one healthy boy. Postnatal ultrasound confirmed the diagnosis. In spite of prophylactic antibiotics the patient developed severe urinary tract infection. Voiding cysterourethrogram (VCUG) revealed aureterocele without vesicoureteric reflux. The urinary tract infection was recurrent and severe and required urgent cystoscopy and puncture of ureterocle.