부산대학교 도서관

Introduction Ureteral ectopia is a rarely observed anomaly. It may be totally asymptomatic. An association with a duplex system is exceptional. Diagnostic and therapeutic approaches are challenging. Carcinologic surgery must consider the anatomic variant, mainly related to the ectopic site of the ureteral orifice. Observation We report a case of a ureteral urothelial carcinoma in a North African 52-year-old male patient, in a right duplex system. Radiological explorations concluded a non-functional upper right kidney. A suspect mass was observed in the lumbar part of the ureter of the right upper system. The meatus of the tumorous ureter ended in the right lobe of the prostate. A right hemi-nephro-ureterectomy was performed. A histological examination concluded a pT2G2 urothelial carcinoma. Conclusion Even if malignancy is rarely observed in ureteral ectopia, it should be evoked mainly in cases of hematuria with risk factors for urothelial tumors. Keywords: Ureter abnormalities , Ureteral neoplasms , Nephroureterectomy
Author(s): Omar Karray[sup.1] , Hassen Khouni[sup.1] , Mahdi Charfi[sup.2] , Rami Boulma[sup.1] , Mehdi Debaibi[sup.3] , Rym Makhlouf[sup.2] , Karim Bargaoui[sup.2] , Oumeima Nessej[sup.2] , Azza Seridi[sup.3] , Slim Fourti[sup.2] [...]