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Uncrossed complete ureteral duplication with upper system reflux.

S Ahmed, R Pope

    The Journal of Urology
    |January 1, 1986
    PubMed
    Summary
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    This study details a rare case of complete ureteral duplication, successfully treated with conjoint reimplantation. The successful management of this congenital anomaly highlights advancements in pediatric urology.

    Area of Science:

    • Urology
    • Pediatric Surgery
    • Medical Case Reports

    Background:

    • Congenital anomalies of the urinary tract, such as ureteral duplication, are relatively common.
    • Complete ureteral duplication involves two separate ureters originating from a single kidney, each with its own opening into the bladder.
    • Uncrossed complete ureteral duplication, where both ureters enter the bladder on the same side, is less common than crossed duplication.

    Observation:

    • A case of uncrossed complete ureteral duplication is presented.
    • The upper system ureter's orifice was noted in a cranial and lateral position within the bladder.
    • Vesicoureteral reflux was observed exclusively in the upper system of the duplex kidney.

    Findings:

    • The patient presented with a specific anatomical variation of complete ureteral duplication.

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  • Reflux was isolated to the upper moiety of the duplex kidney, indicating a localized issue.
  • Successful surgical intervention was achieved through conjoint reimplantation of the duplicated ureters.

    • Implications:

    • This case highlights the importance of accurate diagnosis and tailored surgical approaches for complex congenital urinary tract anomalies.
    • Conjoint reimplantation offers a viable and effective treatment option for selected cases of ureteral duplication with reflux.
    • Understanding the precise anatomical positioning of ureteral orifices is crucial for successful surgical outcomes in pediatric urology.