A rare case of left kidney and ureter duplication with ectopic orifice in vagina. Diagnosis, complications, treatment

The objective of the study was to present a rare case of a double pyelo-calyceal system and duplicated ureter leaving the left kidney diagnosed in a female patient. The ureter was descending from the upper segment of the left kidney with an ectopic orifice into the vagina. The condition resulted in enuresis ureterica. We present diagnostic and therapeutic processes that often pose difficulties for many specialists, including urologists, gynecologists, surgeons, radiologists and pediatricians. fig. 1. Intravenous pyelography. No leakage of contrasted urine in the upper segment of left kidney.