PMC9666680_01
Preoperative ultrasound showed severe hydronephrosis and ureterectasis of bilateral upper moiety.
fsurg-09-1019161-g001.jpg
PMC9666680_01_fsurg-09-1019161-g001.jpg
F1
Ultrasound of urinary system showed bilateral duplex kidney (Figure 1).
Preoperative IVP showed an ureterocele in the bladder ( ).
fsurg-09-1019161-g002.jpg
PMC9666680_01_fsurg-09-1019161-g002.jpg
F2
Intravenous pyelography (IVP) showed there was an ureterocele in the bladder (Figure 2).
Results of preoperative CT showed severe hydronephrosis and ureterectasis of bilateral upper moiety, left ureteral opening, and the right ureterocele.
fsurg-09-1019161-g003.jpg
PMC9666680_01_fsurg-09-1019161-g003.jpg
F3
Computerized tomography (CT) revealed severe hydronephrosis and ureterectasis of bilateral upper moiety, left ureteral opening was ectopic in location, and the right ureterocele was found (Figure 3).
: Upper moiety ureter,  : lower moiety urtter.
fsurg-09-1019161-g004.jpg
PMC9666680_01_fsurg-09-1019161-g004.jpg
F4
After discussion, cystoscopy and bilateral cutaneous ureterostomy was performed for the patient (Figure 4).
Patient's situation after bilateral cutaneous ureterostomy.
fsurg-09-1019161-g005.jpg
PMC9666680_01_fsurg-09-1019161-g005.jpg
F5
The patient's urinary tract infection (UTI) was cured soon after bilateral cutaneous ureterostomy, and she was discharged 5 days later (Figure 5). No UTI a Figure 5 fever occurred in the patient during discharge.
Result of IVP after ureterostomy showed no hydronephrosis in bilateral duplex kidney.
fsurg-09-1019161-g006.jpg
PMC9666680_01_fsurg-09-1019161-g006.jpg
F6
IVP showed no hydronephrosis in bilateral duplex kidney (Figure 6).
Result of VCU before ureteroureterostomy showed mild vesicoureteral reflux (VUR) on the right lower moiety ureter.
fsurg-09-1019161-g007.jpg
PMC9666680_01_fsurg-09-1019161-g007.jpg
F7
Voiding cystourethrography (VCU) showed mild vesicoureteral reflux (VUR) on the right lower moiety ureter (Figure 7).
Postoperative situation of the D-J tubes.
fsurg-09-1019161-g008.jpg
PMC9666680_01_fsurg-09-1019161-g008.jpg
F8
The D-J tubes were removed 1 month after operation (Figure 8).