Endoscopic management of ureteric stenosis and calculi in bilateral incomplete renal duplication: A case study.

IF 3 Q2 MEDICINE, GENERAL & INTERNAL

BioMedicine-Taiwan Pub Date : 2025-09-01 eCollection Date: 2025-01-01 DOI:10.37796/2211-8039.1662

Hafeez Sohaib Ahmad Warraich, Zirwa Younis, Jawairia Warraich, Khizra Warraich

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Abstract

Renal duplication anomalies are one of the most frequent congenital urological conditions in the general population all over the world. Bilateral incomplete duplication, however, is exceedingly rare. We present a case of a 29-year-old female with bilateral incomplete duplex kidneys complicated by mid-ureteric stenosis on the right side and calculi in the left ureter and upper moiety of the left duplex kidney. Diagnostic imaging, including ultrasound, computed tomography (CT), and intravenous urography (IVU) confirmed these findings. The patient underwent successful bilateral ureteroscopy (URS) and left-sided retrograde intra-renal surgery (RIRS) for management of the above mentioned complications related to the duplex kidneys in this patient. Postoperative recovery was uneventful, and a further right-sided percutaneous nephrolithotomy (PCNL) was planned. This case underscores the importance of comprehensive diagnostic evaluation and individualized therapeutic strategies in managing complex urological anomalies.

Categories: Urology, Radiology.

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双侧不完全肾重复输尿管狭窄及结石的内镜治疗：一例研究。

肾重复畸形是世界上最常见的先天性泌尿系统疾病之一。然而，双侧不完全重复极为罕见。我们报告一例29岁女性双侧不完全双肾合并右侧输尿管中段狭窄及左侧输尿管及左侧双肾上部结石的病例。诊断成像，包括超声、计算机断层扫描（CT）和静脉尿路造影（IVU）证实了这些发现。该患者成功接受了双侧输尿管镜检查（URS）和左侧逆行肾内手术（RIRS）来治疗上述与双肾相关的并发症。术后恢复顺利，并计划进一步进行右侧经皮肾镜取石术（PCNL）。本病例强调了综合诊断评估和个体化治疗策略在处理复杂泌尿系统异常中的重要性。分类：泌尿外科，放射学。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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