TITLE:
Case of Incomplete Ureteral Duplication Complicated with Lithiasis and Right Uretero-Hydronephrosis
AUTHORS:
Cheickna Tounkara, Amadou Maiga, Boubacar Yoro Sidibe, Tani Kone, Samake Hamidou, Kaloga Daye Bagayoko, Oumar Amadou Malle, Jean Batiste Honoré Berthe, Mamadou Lamine Diakite
KEYWORDS:
Ureteral Duplication, Congenital Malformation, Adult
JOURNAL NAME:
Surgical Science,
Vol.14 No.7,
July
25,
2023
ABSTRACT: Ureteral duplication is congenital malformative
uropathy that occurs most often in children. Complete ureteral duplication is
defined by a kidney that has two ureters with two orifices that communicate to
the bladder through two ureteral meati. It is an anatomical variant that
remains rare. Its early discovery is due to a lack
of diagnostic means, hence the occurrence of long-term complications. To
this end, we observe an increased importance of the morbidity linked to the late diagnosis of this duplicity. We report a case of incomplete ureteral duplication complicated by
ureterohydronephrosis on lithiasis wedged in the uretero-vesical junction of
one of the ureters in its lower portion
which required uretero-lithotomy with bladder reimplantation of the
ureters. Our aim was to show the importance of the morbidity associated with
late diagnosis of this anomaly and the incidence of infection and complications
that this pathology poses as a problem. This was a clinical case of fortuitous discovery managed by a general surgeon in the
general surgery department of the hospital “Mère Enfant” Le Luxembourg Bamako Mali. The suites were simple.