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  • Title: A 12-year-old boy with an infected ectopic ureter presenting with acute appendicitis-like symptoms and acute scrotum.
    Author: Chu WY, Tsao TF, Chen SL, Chang HM, Chen SM, Chen CY, Lue KH, Sheu JN.
    Journal: Scand J Urol Nephrol; 2012 Jun; 46(3):208-11. PubMed ID: 22229893.
    Abstract:
    An ectopic ureter draining into the seminal vesicle or vas deferens in males is a very rare anomaly and is usually associated with renal dysplasia or agenesis. An ectopic ureter associated with a dysplastic kidney is not usually a suspected cause during clinical evaluation of children with abdominal pain. This report presents a rare case of an ectopic ureter associated with a dysplastic kidney with an acute infection in a previously healthy 12-year-old boy, demonstrated by magnetic resonance imaging. He presented with abdominal pain that mimicked acute appendicitis-like symptoms which was subsequently complicated by epididymitis manifesting as an acute scrotum. Clinicians should consider including an ectopic ureter in the differential diagnosis of children presenting with acute abdomen.
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