Duplex collecting system

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

Right flank mass.

Patient Data

Age: 6 weeks
Gender: Female
ultrasound

Ultrasound demonstrating a right-sided non-functioning obstructed upper pole moiety of a duplex collecting system with a ureterocoele resulting in reflux into the lower pole moiety. 

Fluoroscopy

Micturating cystourethrogram (MCU) demonstrating a right-sided non-functioning obstructed upper pole moiety of a duplex collecting system with a ureterocoele resulting in reflux into the lower pole moiety. The obstructed upper pole displaces the lower pole inferiorly giving it a drooping lily appearance. 

Case Discussion

Case courtesy of Bob Cook, MD. Western Memorial Regional Hospital Corner Brook, Newfoundland.

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