Triplicate Ureter with Complicated Ureteral Cyst in an Ectopic Malrotated Kidney: A Rare Association

Abstract

One of the rarest anomalies of the renal collecting system is ureteral triplication along with the presence of a complex ureteral cyst. We describe an unusual case of a 37-year-old man who presented with fever and abdominal pain. Computed tomography urography (CTU) revealed triplication of the ureter in association with renal ectopia and a ureteral cyst which was complicated by calculi formation. Following treatment with antibiotics, the patient was managed by open ureterolithotomy with resection of the ureteral cyst and tailoring of the ureter.

Keywords

• congenital renal anomaly
• ectopic kidney
• malrotated kidney
• trifid ureter
• ureteral cyst