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Case Reports
. 2013 Dec 12:2013:bcr2013202101.
doi: 10.1136/bcr-2013-202101.

Symptomatic ureteric triplex in a child

William Calvert  1 , Dhanya Mullassery, Simon E Kenny
Affiliations
Case Reports

Symptomatic ureteric triplex in a child

William Calvert et al. BMJ Case Rep. .

Abstract

We describe a case of a triplex system in a 4-year-old girl that was associated with a ureterocele and vesicoureteric reflux and causing symptomatic culture-proven urinary tract infections. Undetected on preoperative ultrasound imaging and micturating cystourethrogram, this was discovered at the time of a planned left heminephrectomy. The redundant system having been removed the patient is now asymptomatic.

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Figures

Figure 1
Figure 1
Ultrasound showing a duplex kidney.
Figure 2
Figure 2
DMSA showing no function in the upper pole of the left duplex.
Figure 3
Figure 3
Resected bifid upper duplex pole (from a Smith type II triplex).
Figure 4
Figure 4
Smith classification of the ureteric triplex.
See this image and copyright information in PMC

References

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Publication types