Bilateral duplex collecting system with bilateral vesicoureteral reflux: a case report.
Cystography
Dextrans
/ therapeutic use
Female
Flank Pain
Humans
Hyaluronic Acid
/ therapeutic use
Kidney
/ abnormalities
Kidney Tubules, Collecting
/ diagnostic imaging
Nephrectomy
/ methods
Tomography, X-Ray Computed
Treatment Outcome
Ureter
/ abnormalities
Urinary Tract Infections
Urination
Vesico-Ureteral Reflux
/ diagnostic imaging
Young Adult
Bilateral
Duplex collecting system
Heminephrectomy
Vesicoureteric reflux
Journal
Journal of medical case reports
ISSN: 1752-1947
Titre abrégé: J Med Case Rep
Pays: England
ID NLM: 101293382
Informations de publication
Date de publication:
04 May 2019
04 May 2019
Historique:
received:
24
01
2019
accepted:
18
03
2019
entrez:
5
5
2019
pubmed:
6
5
2019
medline:
4
12
2019
Statut:
epublish
Résumé
A bilateral duplex collecting system is an unusual renal tract abnormality. Vesicoureteral reflux may be associated. We describe a rare case of bilateral duplex collecting system with bilateral vesicoureteral reflux in which the refluxing ureter on the left side drains the upper pole moiety contrary to what is often found. A 24-year-old married Arab woman presented with ascending left-sided flank pain during micturition. She complained of recurrent urinary tract infections. A physical examination and laboratory tests were normal. Voiding cystourethrography and computed tomography scan detected bilateral duplex collecting system, grade IV vesicoureteral reflux on the left side, and grade I vesicoureteral reflux on the right. She underwent left heminephrectomy and dextranomer/hyaluronic acid injections on the right side. After a year of follow-up, a clinical examination and imaging findings were unremarkable. A bilateral duplex collecting system with refluxing upper pole moiety ureter is a very rare entity. The diagnosis should be suspected when exploring any flank pain with recurrent urinary tract infections to avoid subsequent renal impairment. Furthermore, this case shows how some common symptoms may lead to finding an unexpected urinary tract abnormality.
Sections du résumé
BACKGROUND
BACKGROUND
A bilateral duplex collecting system is an unusual renal tract abnormality. Vesicoureteral reflux may be associated. We describe a rare case of bilateral duplex collecting system with bilateral vesicoureteral reflux in which the refluxing ureter on the left side drains the upper pole moiety contrary to what is often found.
CASE PRESENTATION
METHODS
A 24-year-old married Arab woman presented with ascending left-sided flank pain during micturition. She complained of recurrent urinary tract infections. A physical examination and laboratory tests were normal. Voiding cystourethrography and computed tomography scan detected bilateral duplex collecting system, grade IV vesicoureteral reflux on the left side, and grade I vesicoureteral reflux on the right. She underwent left heminephrectomy and dextranomer/hyaluronic acid injections on the right side. After a year of follow-up, a clinical examination and imaging findings were unremarkable.
CONCLUSIONS
CONCLUSIONS
A bilateral duplex collecting system with refluxing upper pole moiety ureter is a very rare entity. The diagnosis should be suspected when exploring any flank pain with recurrent urinary tract infections to avoid subsequent renal impairment. Furthermore, this case shows how some common symptoms may lead to finding an unexpected urinary tract abnormality.
Identifiants
pubmed: 31053166
doi: 10.1186/s13256-019-2058-z
pii: 10.1186/s13256-019-2058-z
pmc: PMC6500020
doi:
Substances chimiques
Dextrans
0
dextranomer
30KXI0TVD3
Hyaluronic Acid
9004-61-9
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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