A complete duplicated collecting system with giant ureterocele in adult: Case report

Yuri, Prahara; Utama, Eldo Taufila Putra

doi:10.1016/j.ijscr.2020.12.083

Cited by 4 publications

(4 citation statements)

References 10 publications

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“…Approximately 74–90% of cases of ectopic ureterocele are related with the upper moiety of a duplex kidney, which may exhibit minimal or no function 8 .…”

Section: Clinical Discussionmentioning

confidence: 99%

Challenges in diagnosing vaginal mass in a pregnant woman with an underlying duplex collecting system disease: a case report

Baroudi¹,

Mourad²,

Salman³

2023

Annals of Medicine &Amp; Surgery

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Introduction and importance: Congenital renal anomalies are a sequence of defective renal parenchymal or collecting system development and migration that may be discovered during the prenatal period or incidentally among adults. Duplex collecting system diagnosing in adults represents a challenge to physicians. Long-term history of urinary tract infections besides vaginal mass in pregnant women should raise the suspicion of underlying urinary tract malformation. Case presentation: In this case, a 23-year-old pregnant woman at 32 weeks came to the clinic for a routine check-up. A vaginal mass had been noticed during the examination and was punctured, revealing unknown fluid. Further investigations revealed left duplex collecting system consisted of an upper moiety opening with a ureterocele in the anterior wall of the vagina and a lower moiety ending with an ectopic orifice near the right ureter orifice. Therefore, the modified Lich–Gregoir procedure was done to reimplant the ureter of the upper renal moiety. Postoperative following-up investigations affirmed improvement without complications. Clinical discussion: The duplex collecting system disease may remain asymptomatic until adulthood or present with unexpected symptoms. The subsequent workup in the duplex kidney disease depends on the moieties’ function and the ureter orifice opening site. Although the Weigert–Meyer rule is usually used to describe the typical pattern of duplex collecting system ureters opening sites, it has many expectations in the literature. Conclusion: This case shows how some common symptoms may lead to finding an unexpected urinary tract abnormality.

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“…Approximately 74–90% of cases of ectopic ureterocele are related with the upper moiety of a duplex kidney, which may exhibit minimal or no function 8 .…”

Section: Clinical Discussionmentioning

confidence: 99%

Challenges in diagnosing vaginal mass in a pregnant woman with an underlying duplex collecting system disease: a case report

Baroudi¹,

Mourad²,

Salman³

2023

Annals of Medicine &Amp; Surgery

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“…Ureteroceles are generally accepted to be a congenital disease in pediatric populations, and in adults, some authors believe it is an acquired disease 7 . Ericson, in 1954 made the first attempt at classifying this disease 8 .…”

Section: Discussionmentioning

confidence: 99%

Unraveling recurrent urinary tract infection in adulthood: a rare case report of unilateral partial duplex collecting system with ureterocele

Katwal,

Ghimire,

Shrestha

et al. 2023

Annals of Medicine &Amp; Surgery

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Introduction: Duplication of the renal collecting system, known as the duplex collecting system, is a common congenital anomaly of the urinary tract. It can be partial or complete and affects 0.7–4% of the population, with a higher incidence in females. Ureteroceles are cystic dilations of the distal ureter and are often asymptomatic, particularly in adults. Case presentation: The authors present a case of a newly diagnosed partial duplex collecting system of the left kidney and left intravesical ureterocele, which was diagnosed for the first time at the age of 47 years, along with a history of symptoms suggestive of recurrent urinary tract infection and a urethral calculus which was surgically managed 5 years ago. Clinical discussion: The presence of a duplex collecting system can be observed even in males, with the possibility of recurrent urinary tract infection and the rare occurrence of an intravesical ureterocele. While ureteroceles are typically considered a congenital condition, they can also be diagnosed in adults. Conclusion: A partial duplex collecting system of the left kidney with left intravesical ureterocele in the age of 47 years in a male is a rare occurrence. Diagnosis and management of such urological cases can be challenging especially in a resource limited setting, which can be mitigated by awareness of unusual presentations, proper antenatal care, and access to proper diagnostic tools.

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“…Renal function and damage on kidney by duplication can be assessed by intravenous pyelogram (IVP) which appears as delayed excretion or even no excretion [ 17 ]. Intravenous pyelogram could also be used to clearly determine the level of convergence between ureters when diagnosis is in doubt between complete versus partial duplication [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…Intravenous pyelogram could also be used to clearly determine the level of convergence between ureters when diagnosis is in doubt between complete versus partial duplication [ 10 ]. Renal Scintigraphy may be done to assess scar tissue, upper and lower pole function in complete duplication to help in choice of therapy [ 17 ]. Micturating cystourethrogram (MCUG) could detect vesicoureteral reflux [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Bilateral complete duplication of ureter with ectopic ureter presenting as persistent urinary dribbling with normal voiding pattern in 17-year-old female: Case report

Singh

Bhusal

Mishra

et al. 2022

Annals of Medicine &Amp; Surgery

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A complete duplicated collecting system with giant ureterocele in adult: Case report

Cited by 4 publications

References 10 publications

Challenges in diagnosing vaginal mass in a pregnant woman with an underlying duplex collecting system disease: a case report

Challenges in diagnosing vaginal mass in a pregnant woman with an underlying duplex collecting system disease: a case report

Unraveling recurrent urinary tract infection in adulthood: a rare case report of unilateral partial duplex collecting system with ureterocele

Bilateral complete duplication of ureter with ectopic ureter presenting as persistent urinary dribbling with normal voiding pattern in 17-year-old female: Case report

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