preprint
<title>Abstract</title> <bold>Introduction:</bold> Bilateral duplex system with ureteroceles is one of the rarest entities in urology. Duplex collecting system is a common urologic anomaly with a wide range of clinical symptoms and a variety of associated urologic abnormalities such as an ectopic ureter, ureterocele, vesicoureteral reflux and ureteropelvic junction <bold>Presentation of case</bold>: We present a 12-year-old male adolescent presented with nocturnal enuresis since birth and right flank pain of 8 months duration. <bold>Clinical findings and investigations</bold>: There were no pertinent physical findings. A complete blood count, renal function test, urine analysis, ultrasound of the abdomen and pelvis, computed tomography urography, and cystoscopy were performed. <bold>Intervention and outcome</bold>: A single-setting right upper pole heminephroureterectomy and left ureteropyelostomy were performed. He is now asymptomatic and regularly followed up on an outpatient basis. <bold>Relevance and impact</bold>: This case report shows the safety of simultaneous open bilateral procedures for complete bilateral duplex systems in resource-limited settings.
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DOI: 10.21203/rs.3.rs-5688436/v1
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