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Duplicated ureter. Duplicated ureter or duplex collecting system is a congenital condition in which the ureteric bud, the embryological origin of the ureter, splits (or arises twice), resulting in two ureters draining a single kidney. It is the most common renal abnormality, occurring in approximately 1% of the population. [1] [2]
Ectopic ureter is commonly a result of a duplicated renal collecting system, a duplex kidney with 2 ureters. In this case, usually one ureter drains correctly to the bladder, with the duplicated ureter presenting as ectopic. [8]
Antegrade pyelography is the procedure used to visualize the upper collecting system of the urinary tract, i.e., kidney and ureter. It is done in cases where excretory or retrograde pyelography has failed or contraindicated, or when a nephrostomy tube is in place or delineation of upper tract is desired.
The collecting duct system of the kidney consists of a series of tubules and ducts that physically connect nephrons to a minor calyx or directly to the renal pelvis.The collecting duct participates in electrolyte and fluid balance through reabsorption and excretion, processes regulated by the hormones aldosterone and vasopressin (antidiuretic hormone).
Robotic partial nephroureterectomy for a duplicated collecting system and ectopic ureter. Robotic partial nephrectomy: Dealing with dilemmas. Robotic ureterolysis and omental wrap: Lessons learned from 24 cases. Rennoraphy during robotic partial nephrectomy: Progression of technique. Transmesenteric Robotic Pyeloplasty in a horse shoe kidney.
Pancake kidney (also known as disc, shield or doughnut kidney [1]) is a rare anomaly of the kidney with complete fusion of the superior, mild and inferior poles of both kidneys. The kidney is seen as a single, disc-shaped mass typically located in the pelvis. [2] Each kidney has its own ureter that does not cross the midline. [1]
The kidney is divided into parenchyma and renal sinus. The renal sinus is hyperechoic and is composed of calyces, the renal pelvis, fat and the major intrarenal vessels. In the normal kidney, the urinary collecting system in the renal sinus is not visible, but it creates a heteroechoic appearance with the interposed fat and vessels.
Radioisotope renography is a form of medical imaging of the kidneys that uses radiolabelling.A renogram, which may also be known as a MAG3 scan, allows a nuclear medicine physician or a radiologist to visualize the kidneys and learn more about how they are functioning. [1]