A 5 year old boy is evaluated because he has gotten two urinary tract infections in the last six months. He is toilet trained and never has any problems. However, a renal ultrasound shows a dilated ureter.
A 5 year old girl presents with constantly wet underwear. She is toilet trained and has normal voiding habits but has persistent moisture in her underwear. When she sits in her parents' lap, this wetness is more pronounced.
Challenge: What's going on?
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This is ectopic ureter where a ureteral orifice is caudal to the normal insertion point on the trigone of the bladder.
Source: UpToDate.
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