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Current Urology Reports
Published in: Current Urology Reports 12/2023

09-11-2023 | Nephrectomy

Duplex Kidney in Adults: a Systematic Review of the Literature

Authors: Bader Alsaikhan, Faisal Abugamza, Ali Almuhanna, Mohammed Bakarmom, Saleh Alhussaini, David Hajek

Published in: Current Urology Reports | Issue 12/2023

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Abstract

Purpose of Review

In this study, we describe a rare case of a male with a duplex renal collecting system with ectopic ureter insertion into the prostate who presented with sepsis and required urgent laparoscopic radical nephrectomy. This study offers urologists and emergency care practitioners a great overview of the variety of manifestations, anatomic differences, and therapeutic approaches for similar patients.

Recent Findings

modified reconstructive strategy could be a method of choice when addressing particular anatomies, such as incomplete duplex kidneys with ureteropelvic junction obstruction in both upper and lower poles when the obstruction is close to the confluence of the two ureters.

Summary

There is a spectrum of acute presentations and management strategies in adult patients with duplex collecting systems. The majority of patients presenting with obstruction and infection are managed surgically with hemi-nephrectomy; stable patients who present with less extensive anomalies were managed conservatively or with ureteral dilatation or deroofing.
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Metadata
Title
Duplex Kidney in Adults: a Systematic Review of the Literature
Authors
Bader Alsaikhan
Faisal Abugamza
Ali Almuhanna
Mohammed Bakarmom
Saleh Alhussaini
David Hajek
Publication date
09-11-2023
Publisher
Springer US
Published in
Current Urology Reports / Issue 12/2023
Print ISSN: 1527-2737
Electronic ISSN: 1534-6285
DOI
https://doi.org/10.1007/s11934-023-01190-5

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