Duplicación ureteral: A propósito de un caso

a duplication of the pyelochalycial systems, normal or dilated can be incomplete and the fusion of both ureters in one before entering into the urinary bladder, or complete, both ureters enter into de urinary bladder through two independent orificies, one of them with abnormal or ectopic insertion, generally the one that drains the upper pole can occurr. the diagnosis may be performed by means of an abdominal ultrasound. a fifteen-year old patient with pathological history of anemia, with 39o c of fever for several days, having a whitish non-offensive leukorrhea, left flank pain, asthenia and a light weight reduction was admitted. observing in the physical examination a mucu-cutaneous paleness, left pyelo-renal-urethral painful points and a positive percussion in left flank in the fist manoeuvre. laboratory results showed a minor anemia (10g/l), sedimentation erythrocytes rate (113 mm/h) and leukocytosis. leukocyturia, hyaline cylindruria and salts of calcium oxalate were observed. abdominal ultrasound detected an echo-luscent enlarged and twisted image on the level of the left parietal-collic space. contrast axial computerized tomography (act) confirmed the ultrasonographic diagnosis. the abdominal ultrasound is very useful in the early diagnosis, in the evaluation of the anatomic status of the kidney and its adjacent structures; as well as very important to establish the prognosis and follow up of the case.