Paraureteral diverticula. Associated renal morphology and embryogenesis. 1977

S F Wickramasinghe, and F D Stephens

A study was made of paraureteric diverticula, the associated ureteric orifices, and the accompanying kidneys. It was shown that the kidney was more abnormal as the ureteric orifice position lay more laterally and into the diverticulum. The fascial arrangements of the terminal ureter and the related diverticulum were examined. When the ureter opened totally within the diverticulum, both structures showed a single investment of fascia, suggesting a common embryologic orgin of the two structures. When the ureter opened either separately into the bladder or on the verge of the diverticulum, the urter and the adjacent diverticulum each had separate fascial investment, suggesting a different etiology for the formation of this type of diverticulum. A total of 25 single-system specimens were employed for the above study. In the series there were an additional three duplex systems associated with paraureteric diverticula in shich the kidney morphology followed the above pattern but the fascial arrangements were different. Based on the observations of this investigation, it is suggested that the renal morphology is governed by the position of the ureteric orifice in the diverticulum and that the term vesical hiatal diverticula be used to denote those diverticula occurring in the vicinity of the ureteric orifice. It is further suggested that the diverticulum which engulfs the ureteric orifice be called paraureteral, and those with separate orifices in the bladder be termed periureteral to differentiate the embryologic from the pulsion etiologies.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D007668 Kidney Body organ that filters blood for the secretion of URINE and that regulates ion concentrations. Kidneys
D009130 Muscle, Smooth Unstriated and unstriped muscle, one of the muscles of the internal organs, blood vessels, hair follicles, etc. Contractile elements are elongated, usually spindle-shaped cells with centrally located nuclei. Smooth muscle fibers are bound together into sheets or bundles by reticular fibers and frequently elastic nets are also abundant. (From Stedman, 25th ed) Muscle, Involuntary,Smooth Muscle,Involuntary Muscle,Involuntary Muscles,Muscles, Involuntary,Muscles, Smooth,Smooth Muscles
D001743 Urinary Bladder A musculomembranous sac along the URINARY TRACT. URINE flows from the KIDNEYS into the bladder via the ureters (URETER), and is held there until URINATION. Bladder,Bladder Detrusor Muscle,Detrusor Urinae,Bladder Detrusor Muscles,Bladder, Urinary,Detrusor Muscle, Bladder,Detrusor Muscles, Bladder
D004240 Diverticulum A pouch or sac developed from a tubular or saccular organ, such as the GASTROINTESTINAL TRACT. Diverticulosis,Diverticula
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001344 Autopsy Postmortem examination of the body. Autopsies,Post-Mortem Examination,Postmortem Examination,Examination, Post-Mortem,Examination, Postmortem,Examinations, Post-Mortem,Examinations, Postmortem,Post Mortem Examination,Post-Mortem Examinations,Postmortem Examinations
D014515 Ureteral Diseases Pathological processes involving the URETERS. Disease, Ureteral,Diseases, Ureteral,Ureteral Disease
D014522 Urethral Diseases Pathological processes involving the URETHRA. Disease, Urethral,Diseases, Urethral,Urethral Disease

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