PMC9338725_01
PMC9338725_02
CT imaging of duplex kidney and renal tumor (arrow); axial view showing two ureters (arrow) (A); renal mass in the upper pole of the left kidney in coronal view (arrow) (B); in sagittal view (arrow) (C); in axial view (arrow) (D)
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F1
No evidence of venous thrombosis or metastasis to the local surrounding structure was noted (Figure 1).
endoscopic view showing two ureteric openings (arrow) (A); fluoroscopic image showing the confluence of two ureters (arrow) (B)
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F2
The ureteric stent was placed, and dye was injected, following which an x-ray was taken using C-Arm, which further confirmed the bifid ureter anomaly (Figure 2).
intraoperative findings of duplex system with renal tumor double ureter (arrow) (A); excision of the upper pole of left kidney along with tumor mass (B); meticulous suturing of open pelvicalyceal system (C); a wholly resected specimen of the tumor mass (D)
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F3
Partial nephrectomy with excision of tumor mass followed by meticulous suturing of the opened pelvicalyceal system over 6/6 Fr double j stent was performed (Figure 3).