Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 6, 2022; 10(4): 1326-1332
Published online Feb 6, 2022. doi: 10.12998/wjcc.v10.i4.1326
Inverted Y ureteral duplication with an ectopic ureter and multiple urinary calculi: A case report
Wen-Xin Ye, Li-Gang Ren, Li Chen
Wen-Xin Ye, Li-Gang Ren, Li Chen, Department of Urology, Tongde Hospital of Zhejiang Province, Hangzhou 310000, Zhejiang Province, China
Author contributions: Ye WX and Ren LG were the patient’s urological surgeons, and they performed the literature review and wrote the initial draft; Chen L reviewed and corrected the draft manuscript and finalized the manuscript; all authors contributed to the article and approved the submitted version.
Supported by Health Medicine Science and Technology Plan Project of Zhejiang Province, China, No. 2021KY603.
Informed consent statement: Consent was obtained from the patient for the publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have 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 Chen, MD, Chief Doctor, Department of Urology, Tongde Hospital of Zhejiang Province, No. 234 Gucui Road, Hangzhou 310000, Zhejiang Province, China. lcyxywx@126.com
Received: August 1, 2021
Peer-review started: August 1, 2021
First decision: November 7, 2021
Revised: November 12, 2021
Accepted: December 22, 2021
Article in press: December 22, 2021
Published online: February 6, 2022
Processing time: 176 Days and 0.4 Hours
Abstract
BACKGROUND

In the clinical treatment of diseases related to ureteral duplication, it is very important to make a clear diagnosis before surgery because different types of ureteral duplication correspond to different treatment options. Inverted Y ureteral duplication with ectopic ureters and multiple urinary calculi is clinically rare. This case can help clinicians increase their understanding of this disease and gain some experience in its diagnosis and treatment.

CASE SUMMARY

A 36-year-old male who was previously healthy presented to the hospital with lumbar pain. Percussion of the right kidney area showed the patient had pain. Computed tomography scans revealed multiple urinary calculi in the right urinary system. Computed tomography urography revealed a duplicated ureteral malformation with an ectopic ureter. A transurethral ureteroscopic holmium laser lithotripsy was performed successfully. Intraoperative retrograde ureterography was performed, and the ectopic ureter was visible. We informed the family of the intraoperative findings and suggested laparoscopic ectopic ureterectomy for the ectopic ureteral stones. Unfortunately, the family temporarily refused laparoscopic surgery. The patient did not feel any discomfort after one year of follow-up.

CONCLUSION

Inverted Y ureteral duplication with an ectopic ureter and multiple urinary calculi is rare. Clinicians must be highly vigilant, make a correct diagnosis before surgery, determine the type of ureteral duplication and the distribution of urinary calculi, and then draw up a reasonable treatment plan to avoid unnecessary complications.

Keywords: Ureteral duplication; Inverted Y; Ectopic ureter; Urinary calculi; Case report

Core Tip: The inverted Y duplication ureteral malformation with ectopic ureters and multiple urinary calculi is clinically rare. The diagnosis should be made correctly before operation. It is important to determine the type of ureteral malformation and the distribution of urinary calculi. Endoscopic lithotripsy combined with laparoscopic surgery is a good method for treatment.