Diagnosis of duplicated kidney and ureter with ectopic opening of ureter in vagina before embryo transfer
A retrospective analysis was conducted on a case of duplicate right kidney and ureter with ectopic opening in the vagina discovered before embryo transfer,and literature review was conducted.The patient planned to undergo a third embryo transfer.Prior to the transfer,laparoscopic bilateral salpingectomy was performed due to"right fallopian tube hydrosalpinx".About a week after the surgery,there was a continuous increase in vaginal discharge with an odor for more than 50 d.Repeated antibiotic treatments in the outpatient department were ineffective.Vaginal ultrasound examination revealed a cyst in the right adnexal area.After multiple gynecological examinations,vaginal ultrasound,urological ultrasound,whole abdominal CT,magnetic resonance urography,etc.,the diagnosis was right kidney and ureteral malformation with ectopic opening of the ureter in the vagina.Upon reviewing the preoperative images of the patient undergoing salpingectomy,it was found that the dilated right repeated ureter was misdiagnosed as hydrosalpinx.Women with adnexal cysts accompanied by continuous vaginal discharge should consider the possibility of repeated ureters and ectopic ureteral opening,and should pay attention to distinguishing it from hydrosalpinx.
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