case_images: PMC10546241_01
case_images: (a) Transverse ultrasound image revealed an ectopic dysplastic right kidney (white arrow) in the umbilical region. (b) Transverse ultrasound image showed a focal cystic dilatation of the right tubulocystic ureter posterior to the bladder (white arrow). The insertion of ureter was not well visualised.
case_images: SAJR-27-2700-g002.jpg
case_images: PMC10546241_01_SAJR-27-2700-g002.jpg
case_images: F0002
case_images: A dilated and tortuous right ureter was identified distal to the kidney but its insertion was not well appreciated on ultrasound (Figure 2).
case_images: (a) T2-coronal image indicated an ectopic dysplastic right kidney with a few non-communicating cysts (white arrow) in the umbilical region. (b) T2 sagittal image shows a tortuous and dilated right ureter (white arrow), which is coursing well below the level of the bladder neck. (c) T2 axial non-fat-sat and (d) fat-sat images depicted the ectopic insertion of the right ureter into the posterolateral aspect of the vagina.
case_images: SAJR-27-2700-g003.jpg
case_images: PMC10546241_01_SAJR-27-2700-g003.jpg
case_images: F0003
case_images: Static MR urography (Figure 3a and b) confirmed an empty right renal fossa. A dilated, tortuous right ureter was identified and was seen coursing posterior to the urinary bladder with an ectopic insertion into the posterolateral aspect of the vagina (Figure 3c and d).
case_images: PMC10546241_02
case_images: (a) Transverse grey scale and (b) colour doppler ultrasound images demonstrated a well-defined, anechoic, cystic lesion (white arrow) with dependent debris. The urinary bladder with a foley's catheter bulb (star) is seen separately.
case_images: SAJR-27-2700-g004.jpg
case_images: PMC10546241_02_SAJR-27-2700-g004.jpg
case_images: F0004
case_images: A routine ultrasound scan (Figure 4a and b) performed at that time revealed a well-defined anechoic cystic lesion with dependent debris in the right hemipelvis.
case_images: (a) T2 coronal image showed a tubular convoluted cystic structure (white arrow) in the right paramedian abdomino-pelvic cavity, representing tubulocystic changes in the right ureter. The urinary bladder was visualised on the left side of pelvis (star). (b) T2 coronal image showed a large, well-defined, tubular, cystic structure in the pelvic midline, which demonstrated a suspicious communication with the prostatic urethra inferiorly. (c) T1 coronal (post-retrograde contrast administration) image showed the contrast filled, displaced urinary bladder on the left side of pelvis. The cystic lesion on the right did not opacify with contrast (white arrow). (d) T2 fat-sat axial image depicted the communication between the tubulocystic structure on the right and the urethra. (e) Axial and (f) coronal T2 images revealed an absent right kidney.
case_images: SAJR-27-2700-g005.jpg
case_images: PMC10546241_02_SAJR-27-2700-g005.jpg
case_images: F0005
case_images: An empty right renal fossa was appreciated (Figure 5e and f).