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CASE REPORT
Year : 2013  |  Volume : 40  |  Issue : 3  |  Page : 177-179

A trifid pelvis in a patient with a solitary kidney with LUTS: An unusual presentation


Department of Urology, KLES Kidney Foundation, Belgaum, Karnataka, India

Correspondence Address:
Rajendra B Nerli
Department of Urology, KLES Kidney Foundation, KLE University's JN Medical College, Belgaum-590 010, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-5009.120062

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Trifid pelvis is one of the rarest congenital malformations of the upper urinary tract. Trifid pelvis in a solitary kidney is a very rare presentation. A young male adult presented to us with dysuria and white discharge per urethra since 1 year on and off. Urine examination showed few pus cells and white blood cells. Initial imaging by ultrasonography revealed a solitary right kidney. A computed tomography urogram showed a normal right kidney with a trifid pelvis and left ectopic hypoplastic kidney with focal thickening at the right posterolateral aspect of the vesicoureteric junction. Cystoscopy revealed normal anterior and posterior urethra, verumontanum extending until bladder neck, no ejaculatory duct openings noted, and right ureteric orifice placed slightly laterally, with the left ureteric orifice not visualized. Right RGP confirmed a trifid pelvis. A high index of suspicion is needed for the identification of this rare condition.


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