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BMJ Case Reports 2018; doi:10.1136/bcr-2018-226791
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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}gmail.com
  • Accepted 22 August 2018
  • Published 12 September 2018

Description 

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 …

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