Duplicated ectopic hydroureter presenting as a hydrosalpinx, with chronic pelvic pain and recurrent urinary infections.

OBJECTIVE

To present a case of a patient with a duplicated left ureter presenting preoperatively as unilateral hydrosalpinx, chronic pelvic pain, and recurrent urinary tract infections (UTIs).

DESIGN

Case report.

SETTING

A large university-affiliated infertility center.

PATIENT(S): A 37-year-old woman, para 1, with an 18-year history of recurrent UTIs associated with coitus, and chronic pelvic pain with a unilateral hydrosalpinx.

MAIN OUTCOME MEASURE(S): Resolution of recurrent UTIs and left flank pain.

RESULT(S): The patient has remained symptom free after laparoscopic resection of the duplicated ureter and portion of the bladder at its point of insertion.

CONCLUSION(S): We show a rare case of a duplicated left ureter presenting as chronic pelvic pain and recurrent UTIs, demonstrating the importance of a thorough chronic pelvic pain workup.