Case of Incomplete Ureteral Duplication Complicated with Lithiasis and Right Uretero-Hydronephrosis

Abstract

Ureteral duplication is 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 dis covery 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 mor bidity linked to the late diagnosis of this duplicity. We report a case of in complete ureteral duplication complicated by ureterohydronephrosis on lithiasis wedged in the uretero-vesical junction of one of the ureters in its lower portio n which required uretero-lithotomy with bladder reimplantation of th e ureters. Our aim was to show the importance of the morbidity associated with late diagnosis of this anomaly and the incidence of infection and complications that this pathology poses as a problem. This was a clinical case of fortui tous discovery managed by a general surgeon in the general surgery d epartment of the hospital “ Mère Enfant ” Le Luxembourg Bamako Mali. The suites were simple.