case_images: PMC10848177_01
case_images: DMSA showing abnormal renal morphology and a reduced uptake of radiotracer in the left kidney in different positions.. DMSA: Static renal scintigraphy
case_images: cureus-0016-00000051834-i01.jpg
case_images: PMC10848177_01_cureus-0016-00000051834-i01.jpg
case_images: FIG1
case_images: The patient was submitted to a new DMSA test, which showed an estimated quantitative relative renal function in the right kidney of 78.64% and in the left kidney of 21.36% and moderate tubular dysfunction with probable cortical scarring upper pole left kidney (Figure 1).
case_images: Intraoperative retrograde pyeloureterography showing dilated and tortuous left ureter with distal segment following caudally to the pelvis.. RP: Renal pelvis. PU: Proximal ureter. MU: Mid ureter. DU: Distal ureter.
case_images: cureus-0016-00000051834-i02.jpg
case_images: PMC10848177_01_cureus-0016-00000051834-i02.jpg
case_images: FIG2
case_images: The surgical team performed an excision of the distal ureter and realized an intraoperative retrograde pyeloureterography, which showed a dolichal ectopic left ureter tortuous and enlarged in caliber (approximately 15mm) (Figure 2).