Dur Afshar Agha, Waseem Shahzad.
Partial duplex kidney.
Pak Paed J Jan ;22(1):27-8.

A fourteen years old girl presented with a history of recurrent fever for the last three months and puffiness of face for the last four days. The intensity of fever varied from low to high grade on different occasions. There was no history of jaundice or any urinary or bowel complaints. The patient was fully vaccinated and there was no history of anorexia or weight loss. For the last three months she had been taking treatment from some local doctor. On examination the patient was pale with normal vital signs. Blood pressure was 150/110mmHg. Ankle edema was present but there was no ascites. JVP was normal and there was no lymphadenopathy. On systemic examination no abnormality was detected. Blood examination revealed Hb 7.8 gm/dl, TLC 9.1x10e9 /L with 65% polys and 30% lymphos and ESR 45mm. Urine examination showed 6-8 pus cells. There was no growth on culture and sensitivity test of urine Ultrasonography of kidneys showed dilated sinuses. Blood urea, serum creatinine, serum proteins and serum cholesterol values were all within normal limits. No radio-opaque shadow was seen in the KUB area IVP showed that right renal pelvi-calyceal system was normal Right side ureter was also normal. Left renal pelyicalyceal system was double with double ureter which joined each other in the proximal route. The Urology Department was consulted and it was decided to manage the patient conservatively for the time being. As a result of the treatment the condition of the patient improved.

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