Abstract:
RATIONALE:The duplex ureter is a common anomaly of urinary tract, but preoperative sonography, plain abdominal radiography, or nonenhanced computed tomography (CT) often overlooked it when involved with urinary tract obstruction. In this report, We present a rare case of left Y-shaped bifid ureter and both ureter of upper moiety and common stem were obstructed respectively by 2 calculi. PATIENT CONCERNS:A 47-year-old woman was admitted due to 3-day history of left-sided loin pain and low-grade fever. The patient was diagnosed with right renal atrophy and 2 calculi of left ureter associated with severe left hydronephroureterosis, and underwent left percutaneous nephrostomy and left ureterolithotomy without identification of the upper calculus in left ureter in another hospital. DIAGNOSES:After transfer of the patient to our hospital, preoperative contrast-enhanced CT detected the left Y shaped bifid ureter and the calculus in upper moiety ureter. INTERVENTIONS:The migrated calculus was extracted by left ureterolithotomy. OUTCOMES:The patient discharged uneventfully. LESSONS:Contrast-enhanced CT should be recommended prior to any surgical procedures involved with upper urinary tract to exclude duplex ureter.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Xiao N,Ge B,Wang J,Zhao Hdoi
10.1097/MD.0000000000011474subject
Has Abstractpub_date
2018-07-01 00:00:00pages
e11474issue
30eissn
0025-7974issn
1536-5964pii
00005792-201807270-00023journal_volume
97pub_type
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