LATE PRESENTATION OF URETEROCELE IN AN ADULT MALE WITH DUPLEX COLLECTING SYSTEM. A RARE CASE REPORT

Ureteroceles are caused by cystic distal ureter dilatation, which are typically observed in childhood (1). The adult manifestation is not common and can be a source of diagnosis and treatment difficulties (2). We describe a case of a 33-year-old man who has a history of intermittent left flank pain in 1 year. Computed tomography urography revealed a left complete duplex collecting system with severe hydronephrosis and hydroureter of the upper moiety, which is in line with a non-functioning segment on renogram (3). Obstructed left ureterocele was found to be large.The patient underwent cystoscopy and deroofing of the ureterocele under general anaesthesia. The intra-operative findings showed thick-walled intravesical ureterocele along with a dilated ureteric orifice that was removed with Collin knife (4). Recovery was without incident and patient was discharged in stable condition with clear urine output with follow-up imaging scheduled. This case shows the significance of ureterocele in the differentiation of adult patients presenting with chronic flank pain and hydronephrosis and that the obstruction can be relieved through timely treatment by use of endoscopic means and renal functionality can be maintained (5,6).