Subtle renal duplication as an unrecognized cause of childhood incontinence: Diagnosis by magnetic resonance urography

Jafi A. Lipson, Fergus V. Coakley, Laurence S. Baskin, Benjamin M. Yeh

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Urinary incontinence in young girls who have been toilet trained may be due to an ectopic ureter inserting below the urinary sphincter. This diagnosis is frequently delayed, is psychologically distressing, and may be missed at physical examination. Findings at ultrasound evaluation may be subtle and imaging with computed tomography or intravenous urography exposes young patients to ionizing radiation. We report two cases of girls with urinary incontinence where magnetic resonance (MR) urography revealed subtle renal duplication which implied the presence of an ectopic duplicated ureter with infrasphincteric insertion. These cases stress the importance of examining the kidneys, rather than the perineum, at MR, ultrasound and intravenous urogram evaluation, and show the value of MR urography as a safe alternative to computed tomography and intravenous urography for making this diagnosis.

Original languageEnglish (US)
Pages (from-to)398-400
Number of pages3
JournalJournal of Pediatric Urology
Volume4
Issue number5
DOIs
StatePublished - Oct 2008

Keywords

  • Ectopic ureter
  • MR urography
  • MRI
  • Renal duplication

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Urology

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