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Duplicated ectopic hydroureter presenting as a hydrosalpinx, with chronic pelvic pain and recurrent urinary infections.

Hernandez-Rey AE, Vitenson J, McGovern PG

Department of Obstetrics, Gynecology, & Women's Health, UMDNJ-New Jersey Medical School, Newark, New Jersey 07310, USA. hernandezae@hotmail.com

OBJECTIVE: To present a case of a patient with a duplicated left ureter presenting preoperatively as unilateral hydrosalpinx, chronic pelvic pain, and recurrent urinary tract infections (UTIs). DESIGN: Case report. SETTING: A large university-affiliated infertility center. PATIENT(S): A 37-year-old woman, para 1, with an 18-year history of recurrent UTIs associated with coitus, and chronic pelvic pain with a unilateral hydrosalpinx. MAIN OUTCOME MEASURE(S): Resolution of recurrent UTIs and left flank pain. RESULT(S): The patient has remained symptom free after laparoscopic resection of the duplicated ureter and portion of the bladder at its point of insertion. CONCLUSION(S): We show a rare case of a duplicated left ureter presenting as chronic pelvic pain and recurrent UTIs, demonstrating the importance of a thorough chronic pelvic pain workup.

Published 14 December 2007 in Fertil Steril, 88(6): 1677.e1-3.
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