PMC5894318_01
A VCUG image of a young child showing VUR into a duplicated ureter and PCS. The upper moiety shows grade 5 VUR (arrow) and lower moiety shows grade 2 VUR (block arrow)
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F1
The lower moiety demonstrated grade 2 VUR with normal ureteric insertion into the trigone of urinary bladder [Figures 1 and 2].
An oblique VCUG image showing ectopic insertion of upper moiety ureter into the bladder neck (arrow)
IJRI-28-45-g002.jpg
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F2
The lower moiety demonstrated grade 2 VUR with normal ureteric insertion into the trigone of urinary bladder [Figures 1 and 2].
(A and B) Real-time USG of the left lower ureter and VUJ reveals a change in shape due to peristalsis of the lower moiety ureter (LM) (A and B). The LM also shows presence of ureteric jet (arrow in A). The upper moiety ureter (UM) shows dilated lower end and no peristalsis (B)
IJRI-28-45-g003.jpg
PMC5894318_01_IJRI-28-45-g003.jpg
F3
On color Doppler study, the upper moiety ureter near VUJ did not show any color flow and no ureteric jet was visible, whereas the lower moiety demonstrated normal ureteric jet with monophasic pattern (open and close pattern) [Figure 3A and B].