Ureteral triplication (type I) with vesicoureteral reflux

Area of Science:

• Urology
• Pediatric Surgery
• Anatomy

Background:

• Congenital anomalies of the urinary tract can present complex surgical challenges.
• Complete ureter triplication is a rare congenital abnormality.
• Vesicoureteral reflux (VUR) is a common condition in pediatric urology, often associated with other urinary tract malformations.

Observation:

• A rare case of complete triplication of the ureter was identified.
• The patient presented with associated vesicoureteral reflux.
• The anatomical configuration followed the principles of the Weigert-Meyer law.

Findings:

• Successful surgical correction was achieved using ureteroureterostomy.
• This surgical approach effectively managed the triplicated ureter and associated reflux.
• The Weigert-Meyer law accurately predicted the anatomical arrangement in this case of complete ureter triplication.

Implications:

• Ureteroureterostomy is a viable treatment option for complete ureter triplication with VUR.
• Understanding the Weigert-Meyer law is crucial for diagnosing and managing complex ureteral anomalies.
• This case highlights the importance of thorough diagnostic evaluation for congenital urinary tract abnormalities.