PMC5711660_01
On physical examination, the huge introitus mass, 10 x 10 cm. in size, dark red in color was demonstrated. Urethral catheter was placed above the mass.
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On physical examination, her vital sign was stable and the mass was 10 x 10 cm in diameter, dark red in color, protruding from urethra without tenderness (Fig. 1).
MRI of pelvis demonstrated the mass originated from urinary tract system and its content showed fluid level. a, T1-weighted MRI, sagittal plane, b, T2-weighted MRI, axial plane at the bladder level, c, T2-weighted MRI axial plane at the mass, and d, coronal reconstruction of urinary tract.
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Emergency magnetic resonance imaging of pelvis was requested and demonstrated prolapsed, single system, ureterocele of right ureter with hydroureteronephrosis (Fig. 2).
Intraoperative findings showed a, the mass was opened to decompress and b, the mass was completely excised.
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Therefore, the mass was carefully opened in order to drain the content and the wall was excised completely at the level of urethral meatus after hanging stitches were placed (Fig. 3).