Ureteral triplication and contralateral duplication with vesicoureteral reflux

Ureteral triplication is a rare congenital anomaly of the urinary tract. since the first description by warny in 1870,approximately 100 known cases have been reported in the literature,often accompanied by a variety of associated anomalies in contralateral kidney. this report presents a case of ureteral triplication with contralateral duplication and vesicoureteral reflux (vur) of the upper moiety on the triplicate side. the patient was a 10 year old male who presented with a history of recurrent urinary tract infections and right loin pain. act urogram was performed which showed a triplicate right ureter with gross hydroureter of the upper moiety. there was a duplex system present on the left side. the patient underwent right upper pole heminephroureterectomy.