There are a just a fistful of case reports to be found in literature so far, which describe similar cases to our case at hand, where a cecoureterocele was first diagnosed in a grown-up patient.
Since a prolapsed cecoureterocele, especially in adults, is a highly rare condition, it is rather difficult to give an evidence-based recommendation upon its treatment.
We therefore suggest that cases of cecoureterocele in adults, which have been asymptomatic in their lives so far, should, after ruling out any complicating circumstances, be treated conservatively in the first place.
Bautista-Casasnovas, "Prolapsed cecoureterocele presented as a prenatal genital mass: a urological challenge," Canadian Urological Association Journal, vol.
They are 4 times more likely to occur in females.[sup.1] Ureteroceles in girls are associated with duplex systems in 95% of cases; in 80% of cases, they are associated with the upper pole of a duplex system.[sup.2] Cecoureterocele is an uncommon type of ureteroceles, where the blind pouch of the ureterocele is elongated beyond its orifice by tunnelling into submucosa under the bladder trigone and through the urethra.
A cecoureterocele prolapsing through the urethra is extremely uncommon.
IVU may demonstrate pelvi-calyceal anatomy and the ureterocele as a cystic intravesical-filling defect.[sup.8] MRI may demonstrate the extension of the ureterocele through the urethra and its association with a duplex system.[sup.6] As either of the moieties can be functioning poorly in a duplex system, a MAG-3 isotopic renogram becomes useful for considering the different options in management.[sup.10] The differential diagnosis of a prolapsing cecoureterocele in newborns includes epidermal inclusion cyst, Skene's duct cyst, urethral prolapse, and sarcoma botrioides.[sup.1,3,7,8]