Symptomatic Blindly Ending Bifid Ureter

Blind-Ending Bifid Ureter - Clinical Significance? Analysis of 13 Cases with Review of Literature

“…Albers et al [1] stated that such symp toms arise from stasis within the blind lumen. Miller and Tremblay [6] stated that blind-end bifid ureter has to be considered when pain or apparent ureteric obstruction is not readily explained by the usual studies. Although pain is a common symptom, its significance is difficult to assess without infection, renal stone or other complica tions.…”

“…He defined the blind-ending bifid ureter as 'any blind ending hollow structure whose lumen joins that of the ureter at a distinct angle, whose wall presents the same histological coats as the ureter and whose length is more than twice its greatest diameter' [4], This anomaly may arise in any portion of either ure ter, usually joins the ureter at an acute angle and lies parallel to it. The length of the blind-ended bifid ureter varies, quite short (2 cm) in some cases and as long as 22 cm [6] in others. In the majority of reported cases the blind-ending branch has been located in mid or distal ureter [5].…”

Blind-Ending Branch of Bifid Ureter

“…They can be unilateral or bilateral [24]; the form is elongated and gen erally follows the direction of the normal ureter to which it is more or less united in a common sheath [24,30]. Its length varies between 2 and 22 cm [27]. It is frequent to see dilatation of its distal end [2], Its histologic structure is completely similar to the ureter although it can be somewhat hypoplasic [35], One can observe inflamma tory changes in the wall and calculi may develop in the lumen [17].…”

Acute Abdomen: An Unusual Presentation of a Blind-Ending Bifid Ureter

“…While many of them remain silent throughout life [1][2][3], some undergo luminal obstruction and infection leading to chronic ab dominal pain, persistent hematuria or pyuria [2, 4, 5].…”

“…The diagnosis was con firmed by histology. The patient has done well since surgery and there has been no recurrence.BEUD are rare, with less than 70 cases reported in the literature [1,2]. While many of them remain silent throughout life [1][2][3], some undergo luminal obstruction and infection leading to chronic ab dominal pain, persistent hematuria or pyuria [2, 4, 5].…”