Ureterocele dengan Sistem Pengumpulan Urin Ganda pada Pasien Perempuan di RSU Teungku Peukan, Aceh Barat Daya

Abstract

Ureterocele is a congenital anomaly characterized by cystic dilation of the distal ureter as it enters the bladder, often associated with a duplicated collecting system and can lead to urinary flow obstruction and recurrent urinary tract infections. This case report highlights the importance of early diagnosis and appropriate management through imaging such as ultrasound (USG), CT scan, or MRI to prevent serious complications such as renal failure, with interventions that may include surgical procedures to address obstruction and vesicoureteral reflux. This study is a retrospective descriptive study conducted at RSU Teungku Peukan by analyzing the medical records of a 29-year-old female patient diagnosed with bilateral ureterocele with a duplicated collecting system, using clinical and radiological data to describe the presentation, diagnosis, and management of the case, while adhering to the principles of medical research ethics. This study reports a case of a 29-year-old female patient diagnosed with ureterocele and a bilateral duplicated collecting system, which caused recurrent lower abdominal pain, dysuria, and persistent urinary tract infections. Laboratory tests confirmed the presence of a urinary tract infection, while ultrasound imaging showed involvement of the bladder and ureters, although abdominal radiography did not detect stones. Contrast-enhanced CT scan was recommended to confirm the diagnosis and assess the possibility of further complications. Ureterocele management depends on the patient's condition, with treatment options including observation, endoscopic incision, or surgery, where early detection and appropriate management are crucial to prevent serious complications.