Severe Vesicoureteral Reflux with Megaureter Secondary to Unilateral Ureteral Duplication and its Complications in an Infant
Pizarro Cancel, Y.; Baez, L.; Lugo-Vicente, H.
Boletin de la Asociacion Medica de Puerto Rico 110(1): 39-44
2018
ISSN/ISBN: 0004-4849 Document Number: 703082
Ureteral duplication is a common renal anomaly appearing in 10% of children who are diagnosed with urinary tract infections. Duplication can be complete or incomplete and is associated with various complications as ureteropelvic junction obstruction and vesicoureteral reflux (VUR). Prenatally hydronephrosis can be suggestive of ureteral duplication in cases where is associated with high grade reflux. We describe a case of an eleven months-old-boy that was diagnosed prenatally with hydronephrosis. Postnatal voiding cystourethrogram confirmed the diagnosis of vesicoureteral reflux Grade V manifested with a megaureter. Given the high risk of developing renal scars with high grade reflux the patient was schedule for surgery for a ureteral reimplantation. During surgery, right ureteric duplication was incidentally found by cystoscopy, explaining the severe VUR in the infant.
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