Aim of the study: We report a case of a blind-ending bifid ureter in a 67-year-old
woman with ascites initially diagnosed with B-mode and Color Doppler ultrasonography and
afterwards verified with contrast-enhanced abdominal computed tomography. A literature
review of the pathogenesis, sonographic appearance with differential diagnoses and
clinical significance is also presented and discussed. Case description: The patient was
referred for an abdominal ultrasound due to enlarged abdomen circumference. Ultrasound
revealed signs of chronic pancreatitis with cavernous transformation of the portal vein
and large ascites resulting in bilateral pelvicalyceal system dilatation. Additionally,
we have preliminarily diagnosed right-sided, dilatated blind-ending bifid ureter with
associated contralateral complete duplication of the ureter and the collecting system.
These findings, initially revealed with ultrasound, were confirmed with
contrast-enhanced abdominal computed tomography. Conclusions: To our knowledge, this is
the first detailed description of sonographic appearance of blind-ending bifid
ureter.