DOI: 10.36347/sasjs.2023.v09i08.004

Pages: 660-662

Introduction: The ureters are muscular tubes that extend from the kidneys to the urinary bladder. The urine is propelled along the ureter by peristaltic contraction of the muscle coat, assisted by the filtration pressure of the glomeruli. Bifid ureter (BU) are rare congenital anomalies. Is a condition in which the ureter is duplicated, and it can be classified into complete (when they join separately at the urinary bladder) or incomplete –Y ureter- (When they fuse at some point in their trajectory). In the literature, the prevalence of duplicated ureter approximately 0.8%. Case: A 39-year-old woman was presented with history of chronic right-side flank pain and not associated with other urological symptoms. Physical examination revealed right flank tenderness and normal renal function test; urine culture was negative. Contrast- enhanced computed tomography showed right bifid ureters associated with moderate right hydronephrosis with a fine ureters evoking ureteropelvic junction syndromes (UPJ). Cystoscopy with retrograde pyelography revealed a right bifid ureter. The patient consented to open surgery by right mini-incision lombotomy (pyelotmy and anastomos peylo-ureteal latero-lateral) which is after a double-J ureteral stent was placed in the normal right ureter. The postoperative follow up was good. Conclusion: The BU with ureteropelvic junction syndromes are rare congenital anomalies. It is very important to diagnose urinary tract anomalies prior to interventions and supplementary evaluations should be considered. Retrograde pylogram can be a good tool than intravenous pylogram to detect such anomaly. The management can be open or laparoscopic.