A Rare Case of Triplicate Ureter

Ureter triplication is an extremely rare congenital anomaly of the urinary system with approximately 100 cases reported in medical literature, since it was first described in 1870. It is classified into 4 types, and commonly associated with ipsilateral or contralateral urological anomalies. In this report, we present a case of a pediatric Type III-triplicate ureter associated with ipsilateral vesicoureteral reflux and contralateral idiopathic renal atrophy that was discovered during kidney transplant work-up. Diagnosis was made using multislice computed tomography and was confirmed intra-operatively.