Bilateral complete ureteral duplication in a woman with recurrent Urinary Tract Infection (UTI): case report
DOI:
https://doi.org/10.33448/rsd-v10i12.20174Keywords:
Ureters; Anomalies; Urinary tract; ITU.Abstract
Introduction: The ureters are bilateral thin tubular structures (3 to 4 mm) that connect the kidneys to the urinary bladder, carrying urine from the renal pelvis to the bladder. The muscle layers are responsible for the peristaltic activity that the ureter uses to move urine from the kidneys to the bladder. Objective: to present a clinical case of a patient with complete bilateral ureteral duplicity, associated with frequent episodes of urinary tract infection. Methodology: this is a clinical case study with a qualitative and descriptive perspective, which consists of a research that, in general, takes place with direct data collection, in which the researcher is the indispensable instrument. Case report: this is a female patient, 18 years old, with frequent episodes, since the age of 14, of urinary tract infections and complaints of feeling of incomplete bladder emptying, under treatment with a urologist. It is reported that after infections, the presence of constant vaginal discharge is intensified, in large quantities, with a strong odor, however, without burning. At 15 years of age, he was diagnosed with complete bilateral ureteral duplication, by means of computed tomography of the total abdomen, with subsequent intravenous administration of contrast. Conclusion: Many of the ureteral morphological changes can be evaluated using computed tomography, due to its most modern technological advances, it has contributed in recent years to a better characterization of morphological changes, being essential in the diagnosis of congenital anomalies, better guiding clinical and surgical therapeutic decisions and acting as an essential tool in identifying associated complications.
References
Brant, W. E., et al. (2007). Fundamentals of diagnostic radiology. (3a ed.), Lippincott Williams & Wilkins.
Croitoru, S., et al. (2007). Duplicated ectopic ureter with vaginal insertion: 3d ct urography with iv and percutaneous contrast administration. AJR, 189 (1), 272-274.
Dyer, R. B., et al. (2004). Classic signs in uroradiology. Radiographics, 24 (1), 247-280.
El-Ghar, M. A. & El-Diasty, T. (2013). Inserção ectópica do ureter na vesícula seminal. World J Radiol., 5 (9): 349–51.
Fernbach, S. K., Feinstein, K. A., Spencer, K. & Lindstrom, C. A. (2007). Duplicação ureteral e suas complicações. Radiografias, 17 (3), 109–117.
Gun, S., et al. (2012). Fusão renal completa em criança com infecção recorrente do trato urinário. Radiol Bras., 45 (1), 233-234.
Hanson, G. R., Gatti, J. M., Gittes, G. K. & Murphy, J. P. (2007). Diagnóstico de ureter ectópico como causa de incontinência urinária. J Paediatr Urol., 3 (1): 53–57.
Kim, S. H. (2012). Radiology illustrated - uroradiology. (2a ed.), Springer-Verlag.
Lescay, H. A., et al. (2021). Anatomy, Abdomen and Pelvis, Ureter. StatPearls.
Oge, O., Ozeren, B. & Sonmez, F. (2001). Cirurgia poupadora de néfrons em um sistema duplex associado a um ureter ectópico vaginal. Paediatr Nephrol.,16 (3), 1135–1136.
Park, A., et al. (2016). Compreendendo o ureter: desafios e oportunidades. J Endourol.,30 (1), 34-36.
Sailaja, T. K., et al. (2014). Uma rara anomalia do ureter e seu aspecto de desenvolvimento - Relato de caso. MRIMS J Health Sci, 2(1), 102-104.
Soriano, R. M., et al. (2021). Anatomy, Abdomen and Pelvis, Kidneys. StatPearls.
Tanrıverdi, I., Ulman, I. & Avanoglu, A. (2007). Endoscopik nefroureterectomia e experiência em nefroureterectomia de pólo superior usando intra ou retro peritoneal. J Associação Turca de Cirurgiões Pediátricos, 21 (1): 59–61.
Toprak, U., Erdogan, A., Pasaoglu, E. & Karademir, M. A. (2007). A importância da tomografia computadorizada da fase da pielografia no diagnóstico do ureter vaginal ectópico. J Ankara University Faculty of Medicine, 60 (1), 35–37.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Bárbara Queiroz de Figueiredo; Ana Caroline Barcelos Souza; Bárbara Oliveira Vasconcelos Souto; Gardênia Silva Amorim; Pedro Dias Duarte; Rúbia Carla Oliveira
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
