Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 16, 2022; 10(23): 8344-8351
Published online Aug 16, 2022. doi: 10.12998/wjcc.v10.i23.8344
Laparoscopic treatment of bilateral duplex kidney and ectopic ureter: A case report
Shu-Bin Wang, Li Wan, Yong Wang, Zheng-Jin Yi, Chuan Xiao, Jing-Zhao Cao, Xiang-Yu Liu, Rui-Peng Tang, Yun Luo
Shu-Bin Wang, Li Wan, Yong Wang, Zheng-Jin Yi, Chuan Xiao, Jing-Zhao Cao, Xiang-Yu Liu, Rui-Peng Tang, Yun Luo, Department of Urology, Pangang Group General Hospital, Panzhihua 617099, Sichuan Province, China
Author contributions: Wang SB and Wan L carried out the studies, participated in collecting data, and drafted the manuscript; Wang Y, Yi ZJ, Xiao C, Cao JZ and Liu XY performed the statistical analysis and participated in its design; Tang RP and Luo Y helped to draft the manuscript; All authors read and approved the final manuscript.
Informed consent statement: Written informed consent for publication of data was obtained from patient’s guardians.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Li Wan, MS, Doctor, Department of Urology, Pangang Group General Hospital, No. 284 Kapian Road, Panzhihua East Village, Panzhihua 617099, Sichuan Province, China. 446247758@qq.com
Received: March 3, 2022
Peer-review started: March 3, 2022
First decision: April 13, 2022
Revised: April 26, 2022
Accepted: July 6, 2022
Article in press: July 6, 2022
Published online: August 16, 2022
Processing time: 151 Days and 0.4 Hours
Abstract
BACKGROUND

Duplication of the renal pelvis is a common congenital malformation of the urinary system. About one-third of cases are complete unilateral duplication of the renal pelvis, while bilateral duplication is extremely rare. Herein, we described a single case of bilateral renal duplication with double ureteral orifice ectopic vaginal fistula treated with laparoscopy.

CASE SUMMARY

A 6-year-old girl suffering from long-term vaginal leakage was admitted on June 10, 2018. She was diagnosed with complete duplication of both kidneys and ureters and ectopic opening of both ureters combined with ureterovaginal fistula. The patient received laparoscopic ectopic ureteral bladder replantation and was followed up for 2 years. No renal function damage and vaginal leakage were found.

CONCLUSION

Laparoscopic bladder-ureter reimplantation could effectively determine the location and number of ectopic ureters by imaging and cystoscopy.

Keywords: Complete duplex kidney; Ureteral orifice ectopic; Vaginal fistula; Laparoscopic; Rare urinary malformation; Case report

Core Tip: This paper reported a rare case of bilateral complete duplication of renal pelvis with ectopic bilateral ureteral openings. The diagnosis was confirmed by imaging contrast examination and cystoscopy staining test, and the bilateral ectopic openings were successfully repaired by laparoscopy. This study provided a reference for clinicians to improve the diagnosis and treatment experience of such cases in the future.