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Updated: Jul 15, 2026

Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis
Published on: July 8, 2025
Duplicated ectopic hydroureter presenting as a hydrosalpinx, with chronic pelvic pain and recurrent urinary
Armando E Hernandez-Rey1, Jack Vitenson, Peter G McGovern
1Department of Obstetrics, Gynecology, & Women's Health, UMDNJ-New Jersey Medical School, Newark, New Jersey 07310, USA. hernandezae@hotmail.com
Objective:
To present a case of a patient with a duplicated left ureter presenting preoperatively as unilateral hydrosalpinx, chronic pelvic pain, and recurrent urinary tract infections (UTIs).
Design:
Case report.
Setting:
A large university-affiliated infertility center.
Patient(S):
A 37-year-old woman, para 1, with an 18-year history of recurrent UTIs associated with coitus, and chronic pelvic pain with a unilateral hydrosalpinx.
Main Outcome Measure(S):
Resolution of recurrent UTIs and left flank pain.
Result(S):
The patient has remained symptom free after laparoscopic resection of the duplicated ureter and portion of the bladder at its point of insertion.
Conclusion(S):
We show a rare case of a duplicated left ureter presenting as chronic pelvic pain and recurrent UTIs, demonstrating the importance of a thorough chronic pelvic pain workup.
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