case_images: PMC7229424_01
case_images: A: Urinary tract ultrasound showing left kidney hydronephrosis (blue arrow) B: urinary tract ultrasound showing left sided large urinary bladder ureterocele (blue arrow).
case_images: gr1.jpg
case_images: PMC7229424_01_gr1.jpg
case_images: fig0005
case_images: 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.
case_images: 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.
case_images: gr3.jpg
case_images: PMC7229424_01_gr3.jpg
case_images: fig0015
case_images: 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.
case_images: Post operative follow up intravenous urogram showing normal excretory function for the upper and lower moieties (blue arrows) in the left kidney.
case_images: gr4.jpg
case_images: PMC7229424_01_gr4.jpg
case_images: fig0020