DOI: 10.36347/sjams.2019.v07i02.059

Pages: 719-721

Introduction: Ureterocele, denotes a malformation characterized by dilatation pseudocystic of the terminal portion of the ureter. The advent antenatal ultrasound and the early management of this condition have made this entity increasingly rare in adults explaining the lack of publications about it. Case report: We report the case of 42-year-old woman, married for 12 years, who consulted for left lumbago, rebels to analgesic treatment. The patient has a history of recurrent cystitis; a left ureterocele was diagnosed, and treated by an endoscopic technique. Discussion: The ureterocele, described for the first time in the 17th century, is a rare congenital malformation, its preecise embryologic etiology remains unknown, several theories have been proposed, and however the most accepted theory is the incomplete dissolution of the Chwalla membrane. Treatment, indicated in symptomatic or complicated forms, is not univocal. Resection of the ureterocele usually creates reflux that can potentiate urinary infection, and therefore, requires reimplantation, but still is the treatment of choice for symptomatic or complicated ureteroceles of the adult. It is a minimally invasive, easy, reproducible and effective technique. Conclusion: Ureteroceles represent a clinical challenge in term of diagnosis and management due to their various presentations and types.