Two rare case reports of ureteral triplication

Triplication of the upper urinary tract is rare. It is classified according to its extent and four types have been documented. Since the first description of ureteral triplication by Wrany only about a hundred cases have been reported in the literature. Paediatric cases are very few and female patie...

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Bibliographic Details
Published inAnnales d'urologie Vol. 36; no. 1; p. 42
Main Authors Bouhafs, A, Dubois, R, Chaffange, P, Laboure, S, Valla, J S, Dodat, H
Format Journal Article
LanguageFrench
Published France 01.01.2002
Subjects
Child
Diagnosis, Differential
Female
Humans
Hydronephrosis - complications
Hydronephrosis - surgery
Kidney Diseases - complications
Kidney Diseases - pathology
Kidney Diseases - surgery
Nephrectomy
Ureter - abnormalities
Ureter - embryology
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Summary:Triplication of the upper urinary tract is rare. It is classified according to its extent and four types have been documented. Since the first description of ureteral triplication by Wrany only about a hundred cases have been reported in the literature. Paediatric cases are very few and female patients seem more concerned. The embryological event resulting in ureteral triplication derives from multiple ureteral buds arising from the Wolffian duct with fissuring of one or more of them. We report on two cases of ureteral triplication. The first one associated with an extravesical ectopic ureter and a dysplasic kidney. Diagnosis was particularly difficult and treatment consisted of total nephrectomy. The second case was associated with an upper pole hydronephrosis and a partial nephrectomy was realized.
ISSN:0003-4401