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Abstract
Upper urinary tract abnormalities are relatively common and may be diagnosed before or at birth. Some cases will be seen during complications that most often are obstructive. We herein report one case of complete right ureter duplication revealed by sepsis. The case involved one little girl aged 3 years, referred from a peripheral health center for prolonged fever. Physical examination found out a right flank mass connecting with the lumbar spine, renal ballottement, and pain due to a blow to the right flank. Further explorations helped establish the diagnosis of complete duplication of the right ureter with the destruction of the upper renal pelvis. Little girl benefitted from a dual antibiotic therapy combined with partial nephrectomy of the right kidney upper pole. Infectious are serious complications in upper urinary tract obstructions resulting in kidney destruction; therefore, early diagnosis is required.
Highlights
Ureteral duplication is one of the most common defects of a child’s urinary tract [1]
We report the case of complete ureteral duplication revealed by severe sepsis in a 3-year little girl in the pediatric unit of Borgou/Alibori Regional teaching Hospital in Northern Benin
There are uncommon forms: inverted duplication [2,3]. They may be associated with other malformations: vesicoureteric reflux, ureterocele, megalo-ureter and ectopic anastomosis [4,5]
Summary
Ureteral duplication is one of the most common defects of a child’s urinary tract [1]. More often asymptomatic it can be discovered incidentally during a medical examination performed for other diseases. Sometimes, it may be revealed during serious complications, such as repeated urinary tract infections and even septicemia with the destruction of the renal parenchyma. Two collecting systems had been identified on the right side: ureter of the upper renal pelvis was dilated with 750cc of dark urine and parenchyma was completely wiped out; the parenchyma and ureter of the lower renal pelvis were normal (Fig-2). The little girl received a vascular filling with a salted serum of 9/1000 concentration. This was followed by antibiotic therapy consisting of ceftriaxone with a dosage of 100mg/kg /j during 10
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