scholarly journals Double Trouble! Rare Complete Duplication of the Entire Urinary Tract With Dual Neurogenic Bladders Necessitating Dual Intermittent Catheterization

2021 ◽  
Vol 2 (1) ◽  
pp. 72-72
Author(s):  
Sanjay Sinha ◽  
Lavina Matai
Keyword(s):  
Urinary Tract ◽  
Intermittent Catheterization ◽  
Complete Duplication ◽  
Collecting System ◽  
Urinary Collecting System

We report a striking duplication of the entire urinary collecting system in an 18-year-old male with 2 renal pelves and 2 ureters on either side, along with a complete duplication of the bladder and urethra.

scholarly journals Prevalence of congenital duplication of collecting system in Pakistan

2016 ◽  
Vol 11 (4) ◽  
Author(s):  
Mamoona Nasim ◽  
Alvia Batool
Keyword(s):  
Urinary Tract ◽  
Birth Defects ◽  
Urogenital System ◽  
Double Ureters ◽  
Cadaveric Kidney ◽  
Complete Duplication ◽  
Collecting System ◽  
Urinary Tract Anomalies ◽  
Medical Colleges

The urogenital system is more likely to have birth defects than any other system. Of all the urinary tract anomalies, Double ureter is the most common one. It may be incomplete (bind ureter) or complete duplication. In order to collect data for this various medical colleges were approached & 120 cadaveric kidney pairs were examined for the presence or absence of double ureters. It was found that 02 out of all examined kidney pairs were showing this anomaly. One pair was having bilateral double ureters while other was showing right sided ureteric duplication.

Frequency of urinary tract infection in children with antenatal diagnosis of urinary tract dilatation

2019 ◽  
Vol 105 (3) ◽  
pp. 260-263 ◽  
Author(s):  
Marco Pennesi ◽  
Stefano Amoroso ◽  
Giulia Bassanese ◽  
Stefano Pintaldi ◽  
Giulia Giacomini ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Antibiotic Prophylaxis ◽  
Risk Group ◽  
Voiding Cystourethrogram ◽  
Urinary Tract Dilatation ◽  
Increased Risk ◽  
Tract Infections ◽  
Collecting System ◽  
Urinary Collecting System

BackgroundNeonates with congenital urinary tract dilatation (UTD) may have an increased risk of urinary tract infections (UTI). At present, the management of these patients is controversial and the utility of continuous antibiotic prophylaxis (CAP) remains uncertain as the literature presents contradicting evidence. The aim of this observational study was to assess UTI occurrence in children with prenatal diagnosis of urinary collecting system dilatation without antibiotic prophylaxis.MethodsBetween June 2012 and August 2016, we evaluated the incidence of UTI and the clinical and ultrasonography evolution in 407 children with a prenatally diagnosed UTD. All subjects underwent two prenatal ultrasounds scans (USs) at 20 weeks and 30 weeks of gestation and within 1 month of birth. Patients with a confirmed diagnosis of UTD underwent US follow-up at 6, 12 and 24 months of life. According to the UTD classification system stratify risk, after birth UTD were classified into three groups: UTD-P1 (low risk group), UTD-P2 (intermediate risk group), and UTD-P3 (high risk group). Voiding cystourethrogram was performed in all patients who presented a UTI and in those with UTD-P3. No patient underwent CAP.ResultsPostnatal US confirmed UTD in 278 out of 428 patients with the following rates: UTD-P1 (126), UTD-P2 (95) and UTD-P3 (57). During postnatal follow-up, 6.83% patients presented a UTI (19 out of 278). Eleven out of 19 had vesicoureteral reflux (VUR), and other four were diagnosed with obstructive uropathy and underwent surgical correction. Five patients presented a UTI reinfection.ConclusionThe occurrence of UTI in patients with urinary collecting system dilatation was low. The recent literature reports an increased selection of multirestistant germs in patients with VUR exposed to CAP. This study constitutes a strong hint that routine continuous antibiotic prophylaxis could be avoided in patients with UTD.

scholarly journals Complete Duplication of Collecting System in a Horseshoe Kidney Presenting with Recurrent Urinary Tract Infections: Report of an Exceedingly Rare Congenital Anomaly and Review of Literature

2011 ◽  
Vol 11 ◽  
pp. 1591-1596 ◽  
Author(s):  
Majid Mirzazadeh ◽  
Kyle A. Richards
Keyword(s):  
Congenital Anomaly ◽  
Urinary Tract ◽  
English Literature ◽  
Horseshoe Kidney ◽  
Review Of Literature ◽  
Ureteral Duplication ◽  
Rare Congenital Anomaly ◽  
Tract Infections ◽  
Complete Duplication ◽  
Collecting System

We report the fifth case in the English literature of a horseshoe kidney with a complete ureteral duplication. Our case is unique in that the previous four cases occurred in the presence of a ureterocele, whereas our patient lacked this anomaly. Further, our patient was managed conservatively, whereas the previous four patients were managed with surgery.

scholarly journals Weigert-Meyer Law Violation with Lower Pole Obstruction and Ectopia

2020 ◽  
pp. 1-4
Author(s):  
JuliAnne Rathbun ◽  
Elizabeth Malm Buatsi ◽  
JuliAnne Rathbun
Keyword(s):  
Urinary Tract ◽  
Congenital Abnormality ◽  
Upper Urinary Tract ◽  
Care Team ◽  
Differential Diagnoses ◽  
Lower Pole ◽  
Double Ureters ◽  
Work Up ◽  
Complete Duplication ◽  
Collecting System

Duplication of the collecting system is the most common congenital abnormality of the upper urinary tract (0.8-2%), with unilateral duplication more common than bilateral [1-4]. In complete duplication, ureters typically follow the Weigert-Meyer rule of the upper pole inserting caudomedial (may be obstructed) and the lower pole inserting craniolateral (may reflux) in the bladder. Very rarely is there deviation from this pattern. Few cases of uncrossed double ureters with lower pole dysplasia, ureterocele, or ectopia have been reported [5-8]. We report a breach in the law with a case of an asymptomatic 1-month old new-born male with lower pole ureteral ectopia and obstruction. We discuss the importance of thorough work up with emphasis on differential diagnoses and care team-based decisions in the evaluation of paediatric hydronephrosis.

Factitious Hematuria With Underlying Renal Abnormalities

PEDIATRICS ◽  
1988 ◽  
Vol 82 (3) ◽  
pp. 377-379
Author(s):  
RICHARD F. SALMON ◽  
BILLY S. ARANT ◽  
MICHEL G. BAUM ◽  
RONALD J. HOGG
Keyword(s):  
Vesicoureteric Reflux ◽  
Term Pregnancy ◽  
Gross Hematuria ◽  
Persistent Symptoms ◽  
History Of ◽  
Appropriate Therapy ◽  
Complete Duplication ◽  
Renal Abnormalities ◽  
Recurrent Hematuria ◽  
Collecting System

Factitious hematuria is a well-described cause of hematuria in adult patients but is rarely seen or considered in children.1-6 In this article, a 5-year-old girl with a history of gross hematuria with more than one pathologic explanation for recurrent hematuria is described. Because of persistent symptoms despite appropriate therapy, a factitious cause was considered. CASE REPORT The patient was the healthy product of the uncomplicated full-term pregnancy of an unmarried woman who reared the child in the home of her mother and sister. The diagnosis of urinary tract infection was made first at 2 years of age. In subsequent radiographic studies, two normal kidneys were identified, with complete duplication of the left collecting system and bilateral grade 2 vesicoureteric reflux.

scholarly journals Urinary tract infections in children with myelodysplasia in whom clean intermittent catheterization was administered

2017 ◽  
Vol 49 (1) ◽  
pp. 36-41 ◽  
Author(s):  
Zuhal Albayrak Yildiz ◽  
Cengiz Candan ◽  
Mustafa Arga ◽  
Pinar Turhan ◽  
Pinar Isguven ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Intermittent Catheterization ◽  
Clean Intermittent Catheterization ◽  
Tract Infections

scholarly journals A Child with Right Complete Ureteral Duplication Revealed by Sepsis in Northern Benin: A Case Report

2020 ◽  
Vol 3 (1) ◽  
pp. 71-74
Author(s):  
Agbeille Mohamed F ◽  
Agossou J ◽  
Gandaho I ◽  
Kpanidja MG ◽  
Noudamadjo A ◽  
...  
Keyword(s):  
Case Report ◽  
Urinary Tract ◽  
Lumbar Spine ◽  
Early Diagnosis ◽  
Upper Urinary Tract ◽  
Urinary Tract Abnormalities ◽  
Ureteral Duplication ◽  
The Right ◽  
Upper Urinary Tract Abnormalities ◽  
Complete Duplication

Upper urinary tract abnormalities are relatively common and may be diagnosed before or at birth. Some cases will be seen during complications that most often are obstructive. We herein report one case of complete right ureter duplication revealed by sepsis. The case involved one little girl aged 3 years, referred from a peripheral health center for prolonged fever. Physical examination found out a right flank mass connecting with the lumbar spine, renal ballottement, and pain due to a blow to the right flank. Further explorations helped establish the diagnosis of complete duplication of the right ureter with the destruction of the upper renal pelvis. Little girl benefitted from a dual antibiotic therapy combined with partial nephrectomy of the right kidney upper pole. Infectious are serious complications in upper urinary tract obstructions resulting in kidney destruction; therefore, early diagnosis is required.

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