Article: BIFID URETER AND ITS CLINICAL SIGNIFICANCE: A CADAVERIC STUDY

Article Category: Case Reports

DOI: 10.7897/2277-4343.16240

Pages: 43-46

Author: M Danish M Jeelani Shaikh *, Gurunath Digambar Khanolkar

Abstract: Aim: The aim of this study is to document the incidence, morphological features, and clinical implications of bifid ureter through cadaveric examination, contributing to a better understanding of renal and ureteral anatomical anomalies and their clinical relevance. Methods: A 68-year-old male cadaver was used in this study, obtained from Cooper Medical College & Hospital, Mumbai, with all necessary ethical approvals and documentation (No Objection Certificate and death certificate). Detailed dissection of the renal and ureteral structures was conducted to observe anatomical variations. The ureteric anomaly was characterized, and associated vascular variations were noted. The findings were compared with previous literature. Results: The right kidney exhibited an incomplete bifid ureter, with two ureters originating from the renal pelvis, crossing each other before converging into a single opening in the bladder in a Y-shaped pattern. Several vascular anomalies were also noted, including two accessory renal arteries on the right side and an unusual venous connection involving the left renal vein. Additionally, gonadal vascular variations were observed, where both gonadal arteries originated from the accessory renal arteries. Discussion: The observed incomplete bifid ureter and associated renal and vascular anomalies highlight the complex nature of renal anatomy. These variations can complicate diagnostic imaging and surgical procedures. The findings underscore the importance of recognizing these anomalies for accurate diagnosis, surgical planning, and the prevention of potential complications. Conclusion: This cadaveric study provides valuable insights into the anatomical variations of bifid ureter and associated vascular anomalies. Understanding these variations is crucial for clinicians involved in renal surgeries, diagnostic imaging, and the management of related complications.

Keyword: Bifid ureter, renal anomalies, cadaveric study, accessory renal arteries, ureteral duplication.