Ureteral triplication: A case report

Author:

Zivkovic Dragana1ORCID,Varga Jan1,Grebeldinger Slobodan1,Borisev Vladimir1

Affiliation:

1. Klinika za dečju hirurgiju, Institut za zdravstvenu zaštitu dece i omladine, Medicinski fakultet, Novi Sad

Abstract

Introduction Of all children born with congenital anomalies, 30-40% have urogenital abnormalities. Most of them are asymptomatic, but if any symptoms occur, they are usually symptoms of urinary infections. Case report A four-year old girl was admitted because of recurrent urinary infections and in order to perform a thorough clinical examination. Clinical examination showed an asymmetrical glutens and presence of a fibroma in the same region. Detailed radiologic examinations (ultrasonography, plain X-ray, excretory urography, voiding urethrocystography) revealed a triplicate ureter on the right side with a vesicoureteral reflux of the fifth grade on the same side. Intraoperatively, type III ureteric triplication according to Smith's classification was established. Ureteral remodeling and reimplantation was done. The postoperative course was good, and follow-up voiding urethrocystography showed absence of reflux. Discussion Ureteral triplication is a consequence of either development of three buds on the mesonephric duct, or development of two buds, one of which further divided into two parts. Most common anomalies associated with ureteral triplication are: ureteral duplication on the other side (37%), ectopy of the ureteric orifice (28%) and kidney dysplasia (8%). Vesicoureteral reflux is very common on affected or on both sides. Symptomatology is the same as in ureteral duplication - dominated by signs of urinary infections. Conclusion Diagnosis of ureteral duplication requires detailed imaging. Treatment of symptomatic abnormalities should be individual, regardless of the applied treatment (conservative or operative).

Publisher

National Library of Serbia

Subject

General Medicine

Cited by 2 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Congenital Renal Anomalies in Indian Population;Journal of Postgraduate Medicine, Education and Research;2017

2. Extrarenal calyces: a rare renal congenital anomaly;Surgical and Radiologic Anatomy;2014-07-17

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