ABSTRACT

Duplication of the ureter and renal pelvis is the most

common upper urinary tract anomaly with a reported

incidence of 0.8 in the population and in 1.84.2% of pyelograms.15 The vast majority of these anomalies have

normally developed renal moieties and cause no functional

problems. However, they can challenge the diagnostic acu-

men with a wide variety of manifestations. Vesico-ureteral

reflux (VUR) is the most frequently associated anomaly

found in duplex systems. A small proportion of ureteral

duplications is associated with ureteroceles, ectopic ureter,

and pelvi-ureteric junction obstruction.