A 10 months old female child was brought with the complaints of a mass coming out through her urethra ( Fig. 1) when the child passed urine since last two months. The child was not able to pass urine whenever the mass prolapsed. There was no history of fever, hematuria, chronic cough or constipation. A diagnosis of cecoureterocele was made based on the presence of cystic mass at the external urethral meatus and urinary retention. Ultrasound showed a cystic mass at the end of ureter with or without hydronephrosis and voiding cystourethrogram demonstrated smooth round filling defect.

Fig. 1 Cecoureterocele.

An ureterocele is a congenital saccular dilatation of the terminal portion of the ureter. Cecoureterocele is an uncommon type where the ureterocele is elongated beyond its orifice by tunneling under the trigone and the urethra .

Common complications include urinary tract infection, symptoms of obstructive voiding, urinary retention, failure to thrive and abdominal pain. Untreated, these may lead to hydronephrosis or pyonephrosis, A cecoureterocele presenting as a prolapsing mass at urethral meatus should be differentiated from urethral prolapse presenting with bleeding, spotting, dysuria, urinary frequency, introital pain, and urinary incontinence or retention; and sarcoma botryoides which presents as a firm grapelike vaginal mass protruding through the introitus with occasional bleeding.