Incomplete ureteral quintuplication obstructed by proximal calculus: Case report and review of literature

Ureteral duplication is a common congenital anomaly, although multiple ureters is a rare disorder. Bifid ureter or multiple ureters are diagnosed incidentally and generally associated with obstruction by lithiasis.

We present a case of ureteral quintuplication converging into a sacculation obstructed by a 7 cm calculus.

Two or more ureters are more common in women and it is mostly associated with asymptomatic presentation, excepting when related to complications of urinary tract infection or lithiasis. More than four ureters are extremely rare and our case is the first of incomplete quintuplication found so far in the literature.