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Incomplete duplex collecting system with distal ureteric stone

Case contributed by Hidayatullah Hamidi
Diagnosis almost certain

Presentation

Several episodes of right ureteric colic.

Patient Data

Age: 35 years
Gender: Male

Right side Y shaped collecting system is noted with the incomplete duplex ureters joining at the level of the L3/4 intervertebral disc space. The distal ureter has normal caliber, however radio-opaque a non-obstructive stone is seen in the distal right ureter.

Case Discussion

Duplex collecting system is a common congenital anomaly of the urinary tract with 0.7% occurrence. If unobstructed; they are commonly asymptomatic and discovered incidentally.

Ureteric stones are mostly migrate from the kidney.

 

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