BMJ Case Reports 2018; doi:10.1136/bcr-2018-226791
  • Images in…

When duality of renal duplexity and duplicity coexists

  1. Manmeet Singh1
  1. 1Department of Urology, King George’s Medical University, Lucknow, Uttar Pradesh, India
  2. 2King George’s Medical University, Lucknow, Uttar Pradesh, India
  1. Correspondence to Dr Samarth Agarwal, rebellite{at}
  • Accepted 22 August 2018
  • Published 12 September 2018


A 25-year-old male patient presented with complaints of right flank pain and recurrent episodes of urinary tract infections (UTIs) since childhood.

He had no history of fever, haematuria, urinary incontinence or voiding lower urinary tract symptoms. Per abdominal examination was unremarkable, and there was no renal tenderness.

His complete blood haemogram and renal function tests were normal. On evaluation with ultrasound Kidney Ureter Bladder (KUB) and CT urography, there was presence of bilateral duplex kidneys with bilateral duplication of ureter with poorly functioning upper pole moiety of right duplex kidney with gross hydronephrosis and thinned out renal cortex with normal lower pole as shown in figure 1.

Figure 1

Three-dimensional reconstructed CT urography film showing bilateral duplex kidney with duplicated ureters with poorly functioning upper pole of right kidney.

Tc99m-diethylenetriaminepentacetate scan was done which confirmed non-functioning upper pole moiety of right duplex kidney with invariably hydronephrotic and thinned out parenchyma.

A …

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article