Duplication of the renal collecting system is recognized in approximately 1: 4000 pregnancies and is more frequent in females. It disproportionately affects the left kidney, and is bilateral in 15% to 20% of cases. Ultrasound (US) may show dilatation of one or both renal pelves, with an intervening band of renal tissue. Ureteral dilatation may be evident, and there may be a ureterocele visible in the bladder. The Weigert-Meyer rule describes the relationship of the ureters. The upper pole ureter inserts medially and inferiorly to the lower pole ureter, with obstruction of the upper pole moiety secondary to a ureterocele. The lower pole ureter inserts laterally in the bladder trigone and has a shortened intravesical segment that leads to reflux. When a diagnosis of a duplicated collecting system is made prenatally, neonatal evaluation is important, as these individuals are prone to reflux, obstruction, and urinary tract infection.
|Original language||English (US)|
|Title of host publication||Obstetric Imaging|
|Subtitle of host publication||Fetal Diagnosis and Care: Second Edition|
|Publication status||Published - Sep 13 2017|
- Duplex kidney
- Weigert-Meyer rule
ASJC Scopus subject areas