Unilateral Complete Duplication of Ectopic, Refluxing Ureters: A Rarest Entity

Abstract

A ureter that opens at a site distal to the posterolateral aspect of the trigone is known as ectopic ureter. Commonly with complete duplication, upper moiety ureter can be ectopic. A 7-year-old boy presented with dull pain in right flank with repeated episodes of urinary tract infection. Clinically, no abnormality was detected. Ultrasonography revealed right gross hydronephrosis with hydroureter up to ureterovesical junction. Micturating cystourethrogram suggested grade V reflux in both ureters of complete duplication. Right kidney had 20% split function (glomerular filtration rate: 18 mL/minute). Cystoscopy revealed both the ureteric orifice in small prostatic urethral diverticulum. Common sheath ureteric reimplantation was done by Politano-Leadbetter technique. Ectopic ureteral orifice is not uncommon, especially with complete duplication. But complete duplication opening in ectopic position (prostatic urethra) with high grade reflux in both the ureters is extremely uncommon entity. No similar case report could be seen in available literature, making this a unique case.




World J Nephrol Urol. 2015;4(1):181-182
doi: http://dx.doi.org/10.14740/wjnu195w