Duplex collecting system

Case contributed by Safwat Mohammad Almoghazy
Diagnosis certain

Presentation

A known case of gastric GIST since 2012 subjected to partial gastrectomy under follow-up.

Patient Data

Age: 50 years
Gender: Female
ct

The kidneys showing bilateral duplex renal pelvis and partial duplex ureters more evident on the right side (bifid ureters).

The liver is average in size with a left lobe non-enhancing hypodense fat containing lesion that could be a lipoma of the liver. No other focal lesions or IHBR dilatation. Postoperative changes are noted in the stomach as before. No abnormal wall thickening or mass lesion could be seen.

Unremarkable CT features of CBD, portal vein, pancreas, spleen, adrenal glands, and IVC, aorta, and rest opacified bowel loops. Evidence of cholecystectomy. No significant para-aortic, mesenteric, pelvic, or inguinal lymph nodes. No ascites. Unremarkable CT features of urinary bladder, uterus, and both adnexa.

Case Discussion

This patient with a known diagnosis of gastric GIST with an incidental finding fat containing hepatic lesion and duplex collecting system and subjected to partial gastrectomy, under follow up.

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