RESUMEN
We report a case of 47-year-old adult male who presented with episodic unilateral scrotal swelling associated with dragging pain, with a history of spontaneous resolution and associated non-colicky right flank pain. On evaluation, he was diagnosed to have ureteral duplication with intrasinusal ureteral junction and epididymal ureteral ectopia. Treatment included laparoscopic right lower pole nephrectomy for the thinned out draining segment with ectopic ureterectomy. In literature, very few cases of ureteral duplication in an inverted Y have been reported. In such cases, epididymal ureteral ectopia has been found to be extremely rare. Here, in this case, uncharacteristic symptoms mimicking chronic epididymo-orchitis, diagnostic difficulties and findings are described.
RESUMEN
ABSTRACT Associated congenital anomalies are seen in 21% of retrocaval ureter patients; among them, associated contralateral renal agenesis is a very rare entity. We report one such case of right circumcaval ureter with left renal agenesis, diagnosed after febrile UTI. Surgical correction with uretero-ureterostomy was successful. In literature very few such cases are reported and only one case with renal failure was reported. Unilateral renal agenesis cases complicated by associated such anomalies need definitive management and lifelong clinical monitoring to diagnose and prevent chronic kidney disease.