Upadhyay J1* and Allemang T2
1Department of Pediatric Urology, Children’s Hospital of the King’s Daughters, USA
2Department of Urology, Eastern Virginia Medical School, USA
Recurrent epididymitis and a history of anorectal malformation (ARM) may be secondary to an ectopic vas deferens to ureter described as persistent mesonephric duct syndrome. This is a case of a child with ARM found to have bilateral ectopic ureter to vas connection. The histopathology specimen here would suggest this is an ectopic ureter to vas. In a child with ARM that is undergoing nephrectomy, one should consider thorough exploration of the distal ureter to identify possible ectopic segments which may predispose him to epididymitis. This ectopia could explain the increased infertility rates of adults with a history of ARM.
Upadhyay J, Allemang T. Epididymitis Due to Bilateral Ectopic Vas Deferens and Anorectal Malformation. Clin Surg. 2016; 1: 1034.