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Ureteral triplication: double extravesical ureteral ectopia.

R Luque-Mialdea1, E De Tomas, F Arrojo

  • 1Sección Urología, Hospital General Gregório Marañon, Madrid, Spain.

The Journal of Urology
|January 1, 1991
PubMed
Summary
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This case report details an exceptional variant of ureteral triplication in a 21-month-old girl. The patient exhibited one intravesical ureter and two extravesical ureters, a rare congenital urinary tract anomaly.

Area of Science:

  • Urology
  • Pediatric Urology
  • Congenital Anomalies

Background:

  • Ureteral triplication is a rare congenital anomaly of the urinary tract.
  • Smith's classification categorizes ureteral anomalies, with Type 1 involving duplication.
  • Exceptional variants require detailed case reporting for better understanding.

Observation:

  • A 21-month-old female patient presented with a rare form of ureteral triplication.
  • The anomaly involved a single intravesical ureter.
  • Two additional ureters were observed to be extravesical, inserting at the bladder neck and vagina.

Findings:

  • The presented case represents an exceptional variant of Smith's Type 1 ureteral anomaly.
  • This specific configuration of one intravesical and two extravesical ureters is highly unusual.

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  • Detailed anatomical description is crucial for understanding such rare presentations.

    • Implications:

    • This case expands the known spectrum of ureteral triplication.
    • Understanding these rare variants is vital for accurate diagnosis and surgical planning in pediatric urology.
    • Further research into the embryological basis of such anomalies may be warranted.