Ectopic vaginal ureterocele presenting as vaginal gartner's cyst
Harneet Narula, Shallini Mittal, Aditi Vohra, Gunjan Jindal
Ureterocele represent the intramural portion of distal ureter. Most of them are associated with the upper moiety ureter of a duplex system and are therefore ectopic and are commonly inserted within the bladder neck. A 23 year old multiparous female with pelvic pain was clinically diagnosed with a vaginal cyst with the probable diagnosis of gartner's cyst. On sonography examination, there was markedly dilated and tortuous left ureter throughout its extent and was communicating with a rounded cystic structure present in the left lateral vaginal wall. CT urography was revealed that left kidney was duplex and the cystic structure in the vaginal wall was the cystic dilatation of distal left ectopic ureter from the upper moiety of duplex left kidney which was dysplastic. These finding were consistent with the diagnosis of ectopic ureteric insertion into vaginal wall with ureterocele formation.