An unusual case of ureteral tumor in a duplex system

We report an interesting case of ureteral tumor involving both limbs of an incompletely duplicated ureter. Such a case has not been reported in the literature. A 51-year-old female presented with refractory hematuria. A complete evaluation revealed an incompletely duplicated right system with an isolated distal ureteral tumor extending proximally into both arms of the ureter. The patient underwent a successful right nephroureterectomy. Pathology revealed low grade papillary urothelial cancer confined to both arms of the ureter. A brief review of the literature and management is detailed herein.