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      Triplicación ureteral completa: Presentación de un caso Translated title: Complete triple ureter: Case report

      case-report

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          Abstract

          Objetivo: Presentar un caso clínico al que se le detecta un triple uréter, con triple sistema ureteropielocalicial del riñón izquierdo y desembocadura independiente de los uréteres en vejiga, en una paciente femenina, que fue sometida a un estudio por padecer cólicos nefríticos derechos. Método/Resultados: Paciente femenina, de 27 años de edad, que acude a consulta de Urología por sufrir cólicos nefríticos derechos, por tal motivo es estudiada realizándosele, entre otros estudios, una urografía excretora por venoclisis y una tomografía axial computarizada (TAC), donde se detecta una litiasis renal derecha, hidronefrosis derecha y doble sistema pielocalicial derecho, en el riñón izquierdo se observan tres sistemas pielocaliciales, con tres uréteres, desembocando estos de forma independiente en la vejiga. Conclusiones: Las diferentes variedades de anomalías ureterales de número, generalmente son diagnosticadas por síntomas y signos de obstrucción, infección, presencia de litiasis, hematuria, dolor, así como reflujo y ureterocele, en el caso de las triplicaciones ureterales generalmente se acompañan de otras anomalías ureterales de número en el riñón contralateral. La urografía excretora constituye un método diagnóstico eficaz, aunque también la TAC y la ecografía pudieran ayudar a esclarecer el mismo.

          Translated abstract

          Objetive: To report the case of a left complete triple ureter with ureteral pyelocalicial system draining independently into the bladder in a patient consulting for episodes of right renal colic. Methods/Results: 27-year-old female patient consulting for episodes of right renal colic. Several studies including intravenous urography and CT scan were performed revealing a right renal lithiasis and a double ureteral pyelocalicial system on the right side; the left kidney showed three pyelocalicial systems with three ureters, draining each of them separately into the bladder. Conclusions: The anomalies of ureter number are generally diagnosed by signs and symptoms of obstruction, infection, lithiasis, hematuria, pain, reflux, and ureterocele. Cases of triple ureter are generally are accompanied by other ureteral number anomalies of the opposite kidney. Intravenous urography is an effective diagnostic tool, although CT scan ultrasound may also help to clarify the diagnosis.

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          Most cited references23

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          Triplicate ureter.

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            Bilateral ureteral triplication with crossed ectopic fused kidneys associated with the VACTERL syndrome.

            We report a case of bilateral ureteral triplication associated with crossed ectopic fused kidneys, vesicoureteral reflux and the VACTERL syndrome (Vertebral defects, Anal atresia, Cardiovascular anomalies, Tracheo-Esophageal fistula, Radial and renal anomalies, and Limb defects). The relevant literature is reviewed.
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              Ureteral triplication.

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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                urol
                Archivos Españoles de Urología (Ed. impresa)
                Arch. Esp. Urol.
                INIESTARES, S.A. (, , Spain )
                0004-0614
                April 2006
                : 59
                : 3
                : 284-287
                Affiliations
                [03] Camagüey orgnameInstituto Superior de Ciencias Médicas Cuba
                [01] Camagüey orgnameHospital Provincial Docente Manuel Ascunce Doménech Cuba
                [02] Santa Cruz de Tenerife orgnameServicio de Urgencias de los Llanos de Aridane España
                Article
                S0004-06142006000300010
                10.4321/s0004-06142006000300010
                716c7801-f47b-4f9f-b2dc-cb450e9737ba

                This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 International License.

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                Figures: 0, Tables: 0, Equations: 0, References: 18, Pages: 4
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                Triplicación ureteral completa,Complete ureteral triplication

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