TITLE:
Complete Ureteral Duplicity Complicated by Lithiasis with Right Ureterohydronephrosis with Left Renal Excretion Defect: Apropos of a Clinical Case
AUTHORS:
Cheickna Tounkara, Amadou Maiga, Boubacar Yoro Sidibe, Tani Kone, Hamidou Samake, Kaloga Daye Bagayoko, Oumar Amadou Malle, Jean Baptiste Honoré Berthe, Mamadou Lamine Diakite
KEYWORDS:
Ureteral duplication, Congenital malformation, Duplicity, Adult, Bamako Mali
JOURNAL NAME:
Surgical Science,
Vol.14 No.9,
September
28,
2023
ABSTRACT: Ureteral duplication is a 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. Our objective was to show the importance of the
morbidity linked to the late diagnosis of this anomaly, the incidence of the
infection and the complications that this pathology poses as a problem. It was
a clinical case of fortuitous discovery taken care of by a general surgeon in
the general surgery department of the hospital “Mother Child” Le Luxembourg Bamako Mali. We report a case of complete ureteral duplication
complicated by ureterohydronephrosis on a lithiasis wedged in the
uretero-vesical junction of one of the left ureters in its lower portion which
required a uretero-lithotomy with bladder reimplantation of the left ureters
and secondly to a uretero-lithotomy with bladder reimplantation after two
months. The
postoperative course was simple.