Uinarni Herlina, Nike Felicia
Hasanuddin University, Department of Anatomy Atma Jaya Catholic University of Indonesia, Department of Radiology Pantai Indah Kapuk Hospital, Jakarta, Indonesia.
Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia.
Radiol Case Rep. 2020 Mar 18;15(5):564-569. doi: 10.1016/j.radcr.2020.02.012. eCollection 2020 May.
Duplication of ureter is one of the most common anomalies of the urinary tract. Early detection has dramatically increased due to advance in technology of imaging to detect the anomalies during antenatal period; however, numbers of undiagnosed adult still exist. It may remain asymptomatic, but may cause repeated urinary tract infections or calculi. This case report presents a case of a 7-year-old female who had duplex collecting systems. This patient has repeating symptoms throughout the years, referred to several medical specialties. Then ultrasonography and computed tomography showed that she had complete duplex collecting system on her left kidney. She was then undergone left partial nephrectomy surgery and removal of dilated left ureter. Congenital anomaly of the urogenital system should be considered in patients with chronic infection. Multimodal imaging technique such as ultrasonography, computed tomography, or magnetic resonance imaging should be done to confirm the diagnosis especially before surgical management.
输尿管重复畸形是最常见的泌尿系统异常之一。由于产前成像技术的进步，早期检测率大幅提高，能够在孕期检测到这些异常；然而，仍有一些未被诊断出的成年患者。它可能没有症状，但也可能导致反复的尿路感染或结石。本病例报告介绍了一名患有双肾盂收集系统的7岁女性患者。多年来，该患者症状反复，曾转诊至多个医学专科。随后的超声检查和计算机断层扫描显示，她左肾有完全性双肾盂收集系统。之后她接受了左肾部分切除术及扩张的左输尿管切除术。对于慢性感染患者，应考虑泌尿生殖系统先天性异常。应采用多模态成像技术，如超声、计算机断层扫描或磁共振成像来确诊，尤其是在手术治疗前。
