PMC5039285_01
Initial clinical findings, after a transurethral catheter was placed. As will be seen in both pictures, we initially found a prolapsing vaginal mass, whose origin was not to be clearly identified without further examinations.
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While the first try of carefully repositioning our clinical findings (Figure 1) was unsuccessful, we decided to admit the patient to the operating theatre in order to do further examinations and explorations under anesthesia.
Intraoperative findings during cystoscopy. On the left patient's side the repositioned ureterocele is to be seen. The ureteral orifice could not be identified.
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As will be seen in Figure 2, in the following cystoscopy we found a big ureterocele on the left patient's side, matching the formerly prolapsed mass.
Transversal (a) and frontal (b) section of the patient's CT scan. In (a), the bladder, filled with contrast and a transurethral catheter being in place, can be found shifted to the right patient's side. The ureterocele right next to the bladder measures about 3 x 6 cm. (b) shows the dilated left ureter and that there was no incidence for a duplex renal system.
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In the CT scan (Figure 3) the presumed huge ureterocele on the left patient's side was indeed confirmed, accompanied by consecutively dilated left ureter and renal pelvis.
Transversal section of the sonographic control at the 12-month follow-up. The left-sided ureterocele can be seen side-inverted on the picture's right side. Compared to the initial CT scan (Figure 3), there is a significant regression of the ureterocele in size.
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The sonographic findings of the 12-month follow-up are to be seen in Figures 4 and 5.
Sagittal section of the sonographic control at the 12-month follow-up. The ureterocele has significantly downsized compared to the initial CT scan (Figure 3).
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The sonographic findings of the 12-month follow-up are to be seen in Figures 4 and 5.