Robert L. Lebowitz, M.D. Children' s Hospital, Harvard Medical School Boston, Massachusetts

This girl had a urinary infection and a voiding cystogram showed a refluxing left upper pole bladder neck ectopic ureter.
(Figure 1 A, B) Her mother had the same condition when she was a little girl! An IVP with a catheter in the bladder to prevent reflux showed a normal right kidney, good function in a slightly dilated left upper pole and a normal left lower pole(Figure 2) She underwent common sheath reimplantation, leaving a short stump of the left upper pole urether in place. During a post-op voiding cystourethrogram, the catheter first went into the orifice of the left upper pole uretheral stump.(Figure 3) The study was otherwise normal.