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[Ureteral triplication--a case report].

Dragana Zivković1, Jan Varga, Slobodan Grebeldinger

  • 1Medicinski fakultet Novi Sad, Institut za zdravstvenu zastitu dece i omladine, Klinika za decju hirurgiju. zdragana@eunet.yu

Medicinski Pregled
|May 6, 2006
PubMed
Summary

Ureteral triplication, a rare congenital anomaly, often presents with recurrent urinary infections. Surgical intervention for this condition, as seen in a pediatric case, can effectively resolve symptoms and prevent further complications.

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Area of Science:

  • Pediatric Urology
  • Congenital Anomalies
  • Urogenital Development

Background:

  • Urogenital abnormalities affect 30-40% of children with congenital anomalies.
  • Urinary tract infections are the most common symptom of asymptomatic urogenital anomalies.

Observation:

  • A four-year-old girl presented with recurrent urinary infections and physical findings suggestive of an underlying anomaly.
  • Radiological examinations revealed a rare case of right-sided ureteral triplication with severe vesicoureteral reflux.

Findings:

  • Intraoperative findings confirmed type III ureteral triplication.
  • Surgical correction involving ureteral remodeling and reimplantation was successfully performed.
  • Postoperative follow-up demonstrated the absence of vesicoureteral reflux.

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Implications:

  • Ureteral triplication, though rare, necessitates thorough diagnostic imaging for accurate identification.
  • Associated anomalies such as ureteral duplication and kidney dysplasia are common.
  • Individualized treatment, whether conservative or surgical, is crucial for managing symptomatic ureteral abnormalities.