Duplex Collecting System with Ureteric Ectopia Insertion into Vagina

Ectopic ureter is a congenital anomaly of the urinary system that involves ectopic location of the ureteric orifice. It is often associated with a duplex collecting system, which may obey the Wiegert-Meyer phenomenon. There are various sites of ectopic ureter insertion such as bladder neck, urethra and vagina. We present a teen female with persistent urine incontinence who was having a normal voiding pattern. Diagnosis was made through a CT Urogram where a vaginal insertion of right ectopic ureter was seen. Ureteroneocystostomy was carried out. Therefore, persistent urine incontinence, especially in children and adult females, should raise suspicion of this rare entity, and hence, appropriate investigations should be carried out accordingly. Its management depends entirely on the function of that particular kidney (moiety) and the site of orifice location.