PMC7229424_01
A: Urinary tract ultrasound showing left kidney hydronephrosis (blue arrow) B: urinary tract ultrasound showing left sided large urinary bladder ureterocele (blue arrow).
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Radiological investigations started with Ultrasonography for the urinary tract (Fig. 1) which showed hydronephrosis of the left kidney with cystic lesion in the bladder mostly represents a ureterocele, then MCUG (Micturating cystourethrogram) (Fig. 2) was done to rule out vesicoureteral reflux, which showed normal bladder shape with no reflux on both sides.
A: IVU (intravenous urogram) showing normal right kidney with 3 moieties in the left kidney (red arrows) draining into urinary bladder as one ureter (blue arrow). B: Intravenous urogram showing dilated upper moiety (blue arrow) compared to the mid and lower moieties (red arrows) on left kidney.
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After that IVU (intravenous urogram) (Fig. 3) was performed and showed a normal collecting system on the right side and a type 3 ureteral triplication with an abnormal triplication of the left kidney with dilated upper moiety.
Post operative follow up intravenous urogram showing normal excretory function for the upper and lower moieties (blue arrows) in the left kidney.
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