Urosepsis and abscess in an adult with a triplicated renal collecting system treated percutaneously and endoscopically

Ureteral triplication is an extremely rare congenital disorder of the urinary tract. A review of the literature has shown that only about 100 cases have been reported worldwide. We present a case of a 50-year-old female with a known complete ureteral duplication on the right side and incomplete uret...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Ilona Pilosov Solomon, MD, Ilan Klein, MD, Yoram Dekel, MD
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Ureteral triplication Sepsis Ureteral stent insertion Medical physics. Medical radiology. Nuclear medicine R895-920
Acceso en línea:	https://doaj.org/article/bc3b8b4ddf64496fa37e738b32647db8
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:bc3b8b4ddf64496fa37e738b32647db8
record_format	dspace
spelling	oai:doaj.org-article:bc3b8b4ddf64496fa37e738b32647db82021-11-26T04:26:32ZUrosepsis and abscess in an adult with a triplicated renal collecting system treated percutaneously and endoscopically1930-043310.1016/j.radcr.2021.10.058https://doaj.org/article/bc3b8b4ddf64496fa37e738b32647db82022-02-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1930043321007780https://doaj.org/toc/1930-0433Ureteral triplication is an extremely rare congenital disorder of the urinary tract. A review of the literature has shown that only about 100 cases have been reported worldwide. We present a case of a 50-year-old female with a known complete ureteral duplication on the right side and incomplete ureteral triplication on the left side that presented with signs of sepsis accompanied by a tender left flank mass. A detailed evaluation including imaging studies and endoscopy revealed a middle moiety obstruction causing abscess formation in the collecting system. A connection between the mid and lower moieties was demonstrated through an upper calyx of the lower moiety. The abscess was drained, and the patient further underwent ureteral stents placement to both the mid and lower ureters.Following antimicrobial treatment and several weeks of maximal drainage, the connection between the moieties was obviated, with no further episodes of urinary tract infection documented in follow up.Ilona Pilosov Solomon, MDIlan Klein, MDYoram Dekel, MDElsevierarticleUreteral triplicationSepsisUreteral stent insertionMedical physics. Medical radiology. Nuclear medicineR895-920ENRadiology Case Reports, Vol 17, Iss 2, Pp 275-278 (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ureteral triplication Sepsis Ureteral stent insertion Medical physics. Medical radiology. Nuclear medicine R895-920
spellingShingle	Ureteral triplication Sepsis Ureteral stent insertion Medical physics. Medical radiology. Nuclear medicine R895-920 Ilona Pilosov Solomon, MD Ilan Klein, MD Yoram Dekel, MD Urosepsis and abscess in an adult with a triplicated renal collecting system treated percutaneously and endoscopically
description	Ureteral triplication is an extremely rare congenital disorder of the urinary tract. A review of the literature has shown that only about 100 cases have been reported worldwide. We present a case of a 50-year-old female with a known complete ureteral duplication on the right side and incomplete ureteral triplication on the left side that presented with signs of sepsis accompanied by a tender left flank mass. A detailed evaluation including imaging studies and endoscopy revealed a middle moiety obstruction causing abscess formation in the collecting system. A connection between the mid and lower moieties was demonstrated through an upper calyx of the lower moiety. The abscess was drained, and the patient further underwent ureteral stents placement to both the mid and lower ureters.Following antimicrobial treatment and several weeks of maximal drainage, the connection between the moieties was obviated, with no further episodes of urinary tract infection documented in follow up.
format	article
author	Ilona Pilosov Solomon, MD Ilan Klein, MD Yoram Dekel, MD
author_facet	Ilona Pilosov Solomon, MD Ilan Klein, MD Yoram Dekel, MD
author_sort	Ilona Pilosov Solomon, MD
title	Urosepsis and abscess in an adult with a triplicated renal collecting system treated percutaneously and endoscopically
title_short	Urosepsis and abscess in an adult with a triplicated renal collecting system treated percutaneously and endoscopically
title_full	Urosepsis and abscess in an adult with a triplicated renal collecting system treated percutaneously and endoscopically
title_fullStr	Urosepsis and abscess in an adult with a triplicated renal collecting system treated percutaneously and endoscopically
title_full_unstemmed	Urosepsis and abscess in an adult with a triplicated renal collecting system treated percutaneously and endoscopically
title_sort	urosepsis and abscess in an adult with a triplicated renal collecting system treated percutaneously and endoscopically
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/bc3b8b4ddf64496fa37e738b32647db8
work_keys_str_mv	AT ilonapilosovsolomonmd urosepsisandabscessinanadultwithatriplicatedrenalcollectingsystemtreatedpercutaneouslyandendoscopically AT ilankleinmd urosepsisandabscessinanadultwithatriplicatedrenalcollectingsystemtreatedpercutaneouslyandendoscopically AT yoramdekelmd urosepsisandabscessinanadultwithatriplicatedrenalcollectingsystemtreatedpercutaneouslyandendoscopically
_version_	1718409924517560320

Urosepsis and abscess in an adult with a triplicated renal collecting system treated percutaneously and endoscopically

Ejemplares similares