CURIOUS CASE OF HYDROURETERONEPHROSIS: URETERS ON A DETOUR

Bilateral Hydroureteronephrosis secondary to Bilateral Ectopic Ureters is a rare presentation in the reported cases of duplex kidneys and ectopic ureters. Duplex collecting system is a common urologic malformation with a wide range of clinical symptoms. It is also associated with variety of urologic abnormalities such as an ectopic ureter, ureterocele, vesicoureteral reux and ureteropelvic junction obstruction. This report presents a case of a 14-yearold girl who had a bilateral duplex collecting system that was revealed accidentally by a bilateral hydroureteronephrosis. The duplication was complete on both sides. Initially right nephrostomy was done to relieve the hydronephrosis and was followed by bilateral ureteric reimplantation by Modied Politano-Leadbetter procedure along with double DJ stenting.