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Volume 13 Issue 11 (November) 2024

Original Articles

Unilateral incomplete duplication of ureter with complete duplicated pelvicalyceal system violating Weigert- Meyer Law and Stephens ectopic pathway- A cadaveric Study
Dr. Samridhi Puri, Dr. Monika Rathee, Dr. Sonu

Introduction: Duplication of ureter is one of the most common anomalies of the urinary tract. Duplication may be either complete or incomplete. The incidence of duplex renal collecting system and ureter ranges from 0.5%- 3%. Clinically, it may remain asymptomatic, it may cause repeated urinary tract infection (UTIs) or calculi, also get injured during pelvic surgeries. Materials and Methods: A total of 48 kidneys and ureter specimens were carefully dissected following the guidelines outlined by Cunningham’s Manual of Practical Anatomy, at the dissection hall of the World College of Medical Sciences and Research and Hospital, Jhajjar, Haryana. The specimens were examined for presence and types of double ureter and duplex pelvicalyceal system. Results: Out of 48 kidneys, one (2%) specimen showed unilateral duplicated left ureter arising from upper and lower pole of duplex renal pelvis that cross each other and then join together to form a single ureter (y-shape) distally before opening into urinary bladder. Conclusion: Awareness of embryological development, the types and varieties of double ureter will aid radiologists and surgeons to interpret and diagnose urological images and preventing accidental injury to ureter while performing surgeries.

 
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