case_images: PMC10848881_01
case_images: CT abdomen and pelvis without contrast prior to surgery. (A) Coronal view of the right kidney revealing severe hydronephrosis of the right kidney with cystic changes. Notice the dilation of the ureter from the upper pole indicated by the black arrow. (B) Sagittal view of severely hydronephrotic right ureter inserting into the posterior prostatic urethra (black arrow).
case_images: cureus-0016-00000051864-i01.jpg
case_images: PMC10848881_01_cureus-0016-00000051864-i01.jpg
case_images: FIG1
case_images: A CT abdomen and pelvis were obtained re-demonstrating a completely triplicated right ureter with severe upper pole hydronephrosis, minimal renal parenchyma, and a megaureter with an ectopic insertion into the prostatic urethra (Figure 1).
case_images: CT abdomen and pelvis with contrast three years post-operatively. (A) Coronal view of the right kidney with resolution of hydronephrosis. Notice the dilated ureteral remnant adjacent to the kidney, marked by the black arrow. (B) Sagittal view of right ureter inserting into the posterior prostatic urethra demonstrating worsened hydronephrosis (black arrow).
case_images: cureus-0016-00000051864-i02.jpg
case_images: PMC10848881_01_cureus-0016-00000051864-i02.jpg
case_images: FIG2
case_images: A CT urogram was obtained and the right system demonstrated two normal-sized ureters from the mid and lower poles of the kidney and a dilated ureteral remnant from the upper pole of the right kidney to the level of the bladder (Figure 2).