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Duplication of ureter in a 7-year-old: a case report
Herlina Uinarni1, Felicia Nike2
1Hasanuddin University, Department of Anatomy Atma Jaya Catholic University of Indonesia, Department of Radiology Pantai Indah Kapuk Hospital, Jakarta, Indonesia.
Insights
Duplication of the ureter, a common urinary tract anomaly, can cause recurrent infections. Early diagnosis is key, but this case highlights the importance of considering congenital anomalies in chronic infections.
Area of Science:
- Urology
- Pediatric Urology
- Medical Imaging
Background:
- Duplication of the ureter is a frequent congenital anomaly of the urinary tract.
- While antenatal imaging has improved detection, undiagnosed adult cases persist, often presenting with recurrent urinary tract infections or calculi.
- Congenital anomalies of the urogenital system should be considered in patients with chronic infections.
Abstract:
Duplication of ureter is one of the most common anomalies of the urinary tract. Early detection has dramatically increased due to advance in technology of imaging to detect the anomalies during antenatal period; however, numbers of undiagnosed adult still exist. It may remain asymptomatic, but may cause repeated urinary tract infections or calculi. This case report presents a case of a 7-year-old female who had duplex collecting systems. This patient has repeating symptoms throughout the years, referred to several medical specialties. Then ultrasonography and computed tomography showed that she had complete duplex collecting system on her left kidney. She was then undergone left partial nephrectomy surgery and removal of dilated left ureter. Congenital anomaly of the urogenital system should be considered in patients with chronic infection. Multimodal imaging technique such as ultrasonography, computed tomography, or magnetic resonance imaging should be done to confirm the diagnosis especially before surgical management.
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