Case of Bilateral Renal Duplex System
Patient is a 36year old female, with h/o right ureterocele excision.
USG was done initially, in which there was a tubular anechoic structure in right adnexa, mimicking a Hydrosalpinx. TVS confirmed the structure to be a dilated lower ureter, which was showing peristalsis and was seen in continuity with the right VUJ. This type of Ureteric Dilatation (Possibly secondary to reflux) can be easily mistaken for a hydrosalpinx. See the link below.
CASE REPORTS: 'Duplex Megaureter Misdiagnosed as a Hydrosalpinx on Ultrasound '
Since there was right upper calyceal dilatation, Right Duplex System was suspected. LK was normal at time of USG.
Patient is a 36year old female, with h/o right ureterocele excision.
USG was done initially, in which there was a tubular anechoic structure in right adnexa, mimicking a Hydrosalpinx. TVS confirmed the structure to be a dilated lower ureter, which was showing peristalsis and was seen in continuity with the right VUJ. This type of Ureteric Dilatation (Possibly secondary to reflux) can be easily mistaken for a hydrosalpinx. See the link below.
CASE REPORTS: 'Duplex Megaureter Misdiagnosed as a Hydrosalpinx on Ultrasound '
Since there was right upper calyceal dilatation, Right Duplex System was suspected. LK was normal at time of USG.
 |  | ||||
|
| ||||
 |  |
CT images showed bilateral entirely duplicated ureters, bilateral upper moeity hydronephrosis. Right superior moeity ureter was seen inserted at a lower than normal position, with abnormal segmental dilatation of the distal 8-9cm.
No comments:
Post a Comment