1173 A Case of Unilateral Renal Agenesis and Blind Ureter and Ectopic Ureterocoele Causing Hematuria

Introduction Urogenital anomalies involving kidneys are common entities discovered antenatally . However, we report a case in a male in 60s with complaints of Hematuria. Case Report A 68-year-old male was referred to Urology team for evaluation of visible hematuria . Focused history did not reveal any risk factors for associated symptoms. He underwent imaging study in the form of CT scan which evaluated Right renal agenesis with blind ending ureter with Ectopic Ureterocoele. Cystoscopy was performed which confirmed Ureterocoele without any sinister pathology in bladder. Patient’s symptoms were managed conservatively with regular follow up. Discussion It is rare to have undiagnosed Urological congenital anomalies due to antenatal check-up. Solitary Renal agenesis is common in males with more inclination towards left side. Presence of Blind ending ureter with Ureterocoele is an uncommon variant . As a clinician it is important to be aware of such rare instances while managing patients with red flag symptoms . Published Literature does not put light on possible management of symptoms such abdominal pain , urinary symptoms ; However, we discussed option of excision of Ureter along with ureterocele possibly responsible for hematuria. Patient underwent routine follow up with routine examinations and imaging A decision was taken to manage things conservatively in view of symptoms being controlled. Conclusions It is important to be aware of such presentations with possible options of surgical interventions.