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Peer-reviewedCC BY-NC-NDUrology case reports

Blind-ending bifid ureter mimicking stone obstruction during emergency urinary drainage: A case report.

  1. 1Department of Urology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.

Abstract

A blind-ending bifid ureter is a rare congenital urinary tract anomaly. A 63-year-old woman with obstructive pyelonephritis due to a right ureteral stone underwent emergency urinary drainage. Retrograde pyelography demonstrated contrast opacification only up to the right upper ureter, and a guidewire failed to advance beyond the upper ureter. Percutaneous nephrostomy was therefore performed. During subsequent transurethral ureterolithotripsy, ureteroscopy revealed that the guidewire had entered a blind-ending branch, while the stone was located within the ureteral branch communicating with the renal pelvis. A blind-ending bifid ureter may mimic ureteral obstruction caused by ureteral stones and complicate transurethral urinary drainage.

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BibTeX
@article{hasegawa2026blindending,
  title = {{Blind-ending bifid ureter mimicking stone obstruction during emergency urinary drainage: A case report.}},
  author = {Yukino Hasegawa and Junki Harada and Itsuho Ito and Yuichiro Nakamura and Kensuke Mitsunari and Ryoichi Imamura},
  journal = {Urology case reports},
  year = {2026},
  month = oct,
  doi = {10.1016/j.eucr.2026.103654},
  url = {https://europepmc.org/article/MED/42997503},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Blind-ending bifid ureter mimicking stone obstruction during emergency urinary drainage: A case report.
AU  - Yukino Hasegawa
AU  - Junki Harada
AU  - Itsuho Ito
AU  - Yuichiro Nakamura
AU  - Kensuke Mitsunari
AU  - Ryoichi Imamura
PY  - 2026
DA  - 2026/10/27
JO  - Urology case reports
DO  - 10.1016/j.eucr.2026.103654
UR  - https://europepmc.org/article/MED/42997503
AB  - A blind-ending bifid ureter is a rare congenital urinary tract anomaly. A 63-year-old woman with obstructive pyelonephritis due to a right ureteral stone underwent emergency urinary drainage. Retrograde pyelography demonstrated contrast opacification only up to the right upper ureter, and a guidewire failed to advance beyond the upper ureter. Percutaneous nephrostomy was therefore performed. During subsequent transurethral ureterolithotripsy, ureteroscopy revealed that the guidewire had entered a blind-ending branch, while the stone was located within the ureteral branch communicating with the renal pelvis. A blind-ending bifid ureter may mimic ureteral obstruction caused by ureteral stones and complicate transurethral urinary drainage.
SN  - 2214-4420
ER  -