URETEROCELE DENGAN DUPLIKASI URETER KOMPLIT

Ureterocele is a congenital distal ureter dilatation abnormality that formed like sac located intravesical or ectopic outside the normal anatomy location. The exact etiology  of ureterocele is not yet known certainty, presumably due to the obstruction of the ureteral orificium during embryogenesis. There are 80% ureterocele associated with urinarius duplicating system. Radiological examination has an important role in the evaluation and diagnosis of ureterocele. We reported a case of  2 year 7 monthold girl admitted to the hospital with complaints of pain during urination experienced since 2 months ago. Routine urine examination showed leukocytes +++ / 500 cells / uL, blood: ++ / 80 cells / uL and bacteria (+). Ultrasound and CT scan examination showed the presence of intravesical cystic lesions which related to the left ureter. On BNO-IVP examination showed dilatation of left renal pelvicalyceal system that located inferiorly with drooping lily sign appearance, suspicion diagnosis of a bipelvic biureter. Hydronephrosis and hydroureter in lower moety and non function in upper moety. This finding was confirmed by the surgery result that the presence of two ureteric distal, ectopic ureterocele located on the urethral sphincter and another intravesical position.