[Complete triple ureter. Case report]
Otto Ochoa Urdangarain1, José A Hermida Pérez, Johannes Ochoa Montes de Oca
1Hospital Provincial, Camagüey, Cuba.
Objective:
To report the case of a left complete triple ureter with ureteral pyelocalicial system draining independently into the bladder in a patient consulting for episodes of right renal colic.
Methods/Results:
27-year-old female patient consulting for episodes of right renal colic. Several studies including intravenous urography and CT scan were performed revealing a right renal lithiasis and a double ureteral pyelocalicial system on the right side; the left kidney showed three pyelocalicial systems with three ureters, draining each of them separately into the bladder.
Conclusions:
The anomalies of ureter number are generally diagnosed by signs and symptoms of obstruction, infection, lithiasis, hematuria, pain, reflux, and ureterocele. Cases of triple ureter are generally are accompanied by other ureteral number anomalies of the opposite kidney. Intravenous urography is an effective diagnostic tool, although CT scan ultrasound may also help to clarify the diagnosis.
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