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A Rare Case of Triplicate Ureter.
Ahmad Alfaseh1, Ahmad Slyman2, Amro Ilaiwy3
1Urology Resident, Kidney Surgical Hospital, Damascus, Syria.
Ureter triplication, an exceptionally rare congenital anomaly, presents unique diagnostic challenges. This case highlights a pediatric Type III variant with associated urinary tract abnormalities discovered during kidney transplant evaluation.
Area of Science:
- Urology
- Congenital Anomalies
- Pediatric Nephrology
Background:
- Ureter triplication is an extremely rare congenital anomaly, with fewer than 100 reported cases since 1870.
- This condition is classified into four types and frequently co-occurs with other urological abnormalities.
Purpose of the Study:
- To report a rare case of pediatric Type III ureter triplication.
- To describe associated urological anomalies and diagnostic findings in a pediatric patient.
Main Methods:
- Diagnosis utilized multislice computed tomography (CT).
- Confirmation of the diagnosis was achieved intra-operatively.
Main Results:
- A pediatric patient presented with Type III ureter triplication.
- The condition was associated with ipsilateral vesicoureteral reflux and contralateral idiopathic renal atrophy.
- The anomaly was identified during work-up for kidney transplantation.
Conclusions:
- Ureter triplication, though rare, can present with significant associated urological anomalies.
- Multislice CT is an effective diagnostic tool for identifying complex ureteral anomalies.
- Early diagnosis and management are crucial, especially in pediatric patients undergoing transplant evaluation.
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