Idiopathic megaureter incidentally detected during placenta accreta surgery

OpenAlex İngilizce

As ureter variations can be seen common and the most common type of is duplication. Rare type of a variation is widening of ureter which is defined as ‘megaureter’. It can be primary or secondary to an abnormality. The main cause for primary megaureter is functional while for the secondary is due to an anatomical narrowing or an inborn subvesical obstacle to urine flow from bladder. In this case, we presented 35 years old woman diagnosed with placenta accreta spectrum and fifth cesarean section. We performed cesarean hysterectomy and during the surgery, it was observed that the right ureter was severely dilated during the retroperitoneal control of surgery area. Dilatation of ureter was evaluated, and it was diagnosed as idiopathic. In conclusion, despite ureters should be checked during major gynecological surgeries, detection of a dilated ureter during surgery does not always mean an iatrogenic complication.