Ureteral Triplication and Contralateral Duplication with Vesicoureteral Reflux

Year 2011, , 469 - 470, 01.04.2011

Haluk Söylemez Mustafa Koplay Bülent Altunoluk Fatih Oğuz

https://doi.org/10.5174/tutfd.2010.04021.2

Abstract

Ureteral triplication is a rare congenital anomaly of the urinary tract. Since its first description, only about 100 cases have been reported in the literature. The association of ureteral triplication and contralateral duplication is even rarer. We reported a case of ureteral triplication and contralateral duplication with vesicoureteral reflux. The patient was a five-year-old girl with a history of recurrent urinary tract infections, dysuria and lower abdominal pain. Intravenous Pyelography (IVP) showed duplication of the right ureter and triplication of the left ureter. In the cystourethrogram there was vesicoureteral reflux at the lower pole of the right kidney. The patient underwent right lower to upper ureteroureterostomy and excision of the distal ureter. This is the second report of ureteral triplication in Turkey. The literature concerning this rare anomaly was reviewed.

Keywords

Urogenital abnormality, vesico-ureteral reflux, ureteral triplication

Ureteral Triplication and Contralateral Duplication with Vesicoureteral Reflux

Abstract

References

• Bouhafs A, Dubois R, Chaffange P, Laboure S, Valla JS, Do- dat H. Two rare case reports of ureteral triplication. Ann Urol 2002;36:42-4. [CrossRef]
• Smith I. Triplicate ureter. Br J Surg 1946;34:182-5. [CrossRef]
• Kudela G, Koszutski T, Mikosinski M, Utrata W. Ureteral tripli- cation-report of four cases. Eur J Pediatr Surg 2006;16:279-81. [CrossRef]
• Hsu TH, Goldfarb DA. Blind-ending ureteral triplication. J Urol 1998;159:1295. [CrossRef]
• Fernbach SK, Poznanski AK. Pediatric case of the day. Complete ureteral triplication. Radiographics 1989;9:359-64.
• Li J, Hu T, Wang M, Chen S, Huang L. Ureteral triplication: the first report in China. J Pediatr Surg 2004;39:38-9. [CrossRef]
• Singh G, Murray K. Ureteral triplication, occasionally an isolated anomaly. Urol Int 1996;56:117-8. [CrossRef]
• Sivrikaya A, Cay A, Imamoglu M, Sarihan H. A case of ureteral triplication associated with ureteropelvic junction obstruction. Int Urol Nephrol 2007;39:755-7. [CrossRef]
• Vicentini FC, Denes FT, Srougi M. Ureteral quadruplication asso- ciated with ureteral cyst and massive vesicoureteral reflux treated by laparoscopic nephroureterectomy. J Endourol 2007;21:769-71. [CrossRef]
• Ochoa Urdangarain O, Hermida Pérez JA, Montes de Oca JO, Miranda Rosales F, Rivero García C. Complete triple ureter. Case report. Arch Esp Urol 2006;59:284-7.