Pyelonephritis and ureteral duplication

Case contributed by Bruno Di Muzio
Diagnosis almost certain

Presentation

Abdominal pain on the right, without fever and dysuria.

Patient Data

Age: 20 years
Gender: Female

There is a total ureteral duplication on the left. Signs of striated nephrogram are seen in the excretory phase.

Case Discussion

A duplex collecting system is one of the commonest congenital renal tract abnormalities.

Acute bacterial pyelonephritis remains common and continues to have significant morbidity in certain patients groups.

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