Multicystic dysplastic kidney with twice duplicated distal ureter having ectopic blind endings

9^th International Conference on Nephrology: Kidney & Therapeutics

September 29-30, 2016 Orlando, USA

Amar Jayanthi A and Jisha K T

Government Medical College, India

Posters & Accepted Abstracts: J Nephrol Ther

Abstract :

Congenital abnormalities of the kidneys, urinary collecting system and bladder come at an incidence of roughly 1% of total live births. These urinary abnormalities form a major problem in urological studies both of interest to the surgeons and anatomists, of which inverted Y shaped ureter, ectopic ureter, blind ending ureter and multicystic kidney are a very rare spectrum of anomalies. Co-existence of such a complex spectrum of anomalies in the same individual is of immense surgical importance. During dissection, retro peritoneum of intra uterine dead (IUD) male fetus of 28 weeks gestation, a combination of multicystic dysplastic kidney with a rare ureteral anomaly which is not seen frequently was observed. The normal left renal anatomy was completely distorted. Ureter divided twice in an inverted Y branching pattern, the two left limbs entered the wall of rectum and urinary bladder of same side, respectively and right limb opened ectopically into urinary bladder. The gross and microscopic features were in favor of Multicystic dysplastic kidney and ureter. Congenital renal dysplasia may be explained by an abnormal induction of metanephric blastema by migrating ureteric bud. The embryological basis of inverted Y shaped ureter is not clearly understood, we suggest that it is due to longitudinal splitting of ureteric bud. This type of anomaly of the ureter may represent real traps in the interpretation of abdominal imaging, particularly in CT scanning.

Biography :

Email: jayanthiamar@yahoo.co.in