A Bilateral Incomplete Duplex System in the Upper Urinary Tract: A Case Report

A computed tomography (CT) urogram was performed and it set the diagnosis by showing a bilateral incomplete duplex collecting systems with bifid ureters. It also revealed a modest hydronephrosis in inferiors pyelocaliceal systems without any obstruction (Figure 1). However, we did not find any vesicoureteral reflux at cystography. A cystoscopy was performed revealing two ureteral meatus without bladder abnormalities. Retrograde ureteropyelography confirmed the absence of obstruction on the excretory tracts (Figures 2 and 3). The therapeutic strategy was surgical abstention with a closer clinical follow because of the paucisymptomatic aspect of the clinical picture. ABSTRACT