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  • Title: [Infected upper renal pole in a duplex system with paravaginal abscess].
    Author: Rödder K, Olianas R, Fisch M.
    Journal: Aktuelle Urol; 2003 Dec; 34(7):481-3. PubMed ID: 14655086.
    Abstract:
    INTRODUCTION: Diagnosis of afunctional duplex systems may be delayed as they are often associated with misleading and atypical symptoms. A 40-year-old female with no history of urological disease exemplifies this thesis. CASE REPORT: Symptoms at admission were fever with pain in the right flank and lower abdomen. Sonography showed a large unclear structure at the upper pole of the right kidney and a paravaginal abscess, which was drained primarily. Rising temperature led to examination by CT-scan, which revealed a renal abscess of the upper pole, suggesting a right extopic ureter. After percutaneous drainage, further examinations (antegrade pyelography and IVP) confirmed an ectopic, blind-ending duplex ureter with a hydropyonephrotic upper renal system on the right side. Upper poole resection with ureterectomy was performed. CONCLUSIONS: In patients with unclear abscesses in the area of the external genitalia, congenital anomalies of the urinary tract should be considered as an underlying disease.
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