Duplex kidney anomalies and associated pathology: a single centre retrospective review

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dc.contributor.authorSarma, Debangaen_US
dc.contributor.authorPratihar, Sarbartha Kumaren_US
dc.contributor.authorP., Rajeev T.en_US
dc.contributor.authorBarua, Sasanka K.en_US
dc.contributor.authorBagchi, Puskal K.en_US
dc.contributor.authorPhukan, Mandeepen_US
dc.date.accessioned2020-11-18T10:03:47Z
dc.date.available2020-11-18T10:03:47Z
dc.date.issued2020-01
dc.description.abstractBackground: Duplex kidneys are common developmental renal anomaly with an incidence of 1% in healthy adult population.Adult individuals may present as non-functional moiety, calculus disease or an incidental finding. Duplex kidney is defined as a renal unit comprised of two pelvicalyceal systems. Based on the degree of fusion, it can present as bifid renal pelvis, partial ureteric duplication (Y-shaped ureter), incomplete ureteric duplication with ureters joining near or in bladder wall (V-shaped ureter) and complete ureteric duplication with separate ureteric orifices. The purpose of this study is to retrospectively review the various duplex kidney anomalies and associated pathology.Methods: This is a retrospective study, performed at Department of Urology, Gauhati Medical College Hospital, a tertiary centre, from September, 2018 to August, 2019. Preoperative imaging, plain intravenous urography or computed tomography intravenous urography was done.Results: 29 patients were diagnosed with variants of duplex kidney anomaly. It includes right side, left side and bilateral anomalies. Among all the patients 4 had incidental findings. 16 patients had associated renal or ureteral calculus. 5 patients had associated ureteropelvic junction obstruction while 1 patient had ureterovesical junction stricture. We found single patient in each group of duplex kidney anomaly associated with non-functional moiety with renal cell carcinoma, ureterocele with urothelial malignancy and horseshoe kidney with ureteropelvic junction obstruction respectively.Conclusions: Duplex kidney anomaly in most individuals is of no clinical significance. High index of suspicion along with good quality imaging can accurately detect specific anomaly and associated condition.en_US
dc.identifier.affiliationsDepartment of Urology and Renal Transplant, Gauhati Medical College and Hospital, Guwahati, Assam, Indiaen_US
dc.identifier.citationSarma Debanga, Pratihar Sarbartha Kumar, P. Rajeev T., Barua Sasanka K., Bagchi Puskal K., Phukan Mandeep. Duplex kidney anomalies and associated pathology: a single centre retrospective review. International Surgery Journal. 2020 Jan; 7(1): 76-82en_US
dc.identifier.issn2349-3305
dc.identifier.issn2349-2902
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/212690
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber1en_US
dc.relation.volume7en_US
dc.source.urihttps://dx.doi.org/10.18203/2349-2902.isj20195619en_US
dc.subjectDuplex kidney anomalyen_US
dc.subjectBifid pelvisen_US
dc.subjectComplete ureteral duplicationen_US
dc.titleDuplex kidney anomalies and associated pathology: a single centre retrospective reviewen_US
dc.typeJournal Articleen_US
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