URETERAL TRIPLICATION WITH STRICTURE OF MIDDLE URETER AND ECTOPIC INSERTION OF URETER.

Ureteral triplication is a rare congenital anomaly of urinary tract with wide spectrum of presentation. The association of ureteral triplication with stricture of one of the branch is very rare and has hardly been reported in literature. We present a case of 20 year old boy presenting with recurrent urinary tract infection and with occasional haematuria. Ultrasonography revealed hydroureter with likely double moiety and ectopic insertion of ureter into the prostatic urethra. On CT urography, triple moiety of the right kidney was revealed with stricture of middle ureter at site of union of ureters and resultant proximal hydroureter. Renal tissue was dysplastic in mid pole. Ectopic insertion of single ureter into the prostatic urethra was also seen. Radiological features along with embryology and review of literature is discussed.