Type of Article:  Case Report

Volume 5; Issue 2.2 (May 2017)

Page No.: 3788-3790

DOI: https://dx.doi.org/10.16965/ijar.2017.178


Chiman Kumari 1 , Rohini Motwani 2,  Saroj Kaler Jhajhria *3, Neerja Rani 4,  Pooja Jain 5, Khursheed Raza 6, Vidhu Dhawan 7, Seema Singh 4.

1 Senior Resident, Department Of Anatomy, AIIMS, New Delhi, India.

2 Assistant Professor, Department Of Anatomy, MNR Medical College & Hospital, Sangareddy (Former SR, AIIMS,New Delhi) India.

*3 Associate Professor, Department Of Anatomy, AIIMS, New Delhi, India.

4 Assistant Professor, Department Of Anatomy, AIIMS, New Delhi,

5 Assistant Professor, Department Of Anatomy, Government Doon Medical College, Dehradun (Former SR, AIIMS), India.

6 Assistant Professor, Department Of Anatomy, Sridev Suman Subharti Medical College, Dehradun (Former SR, AIIMS), India.

7 Phd Student, Department Of Anatomy, AIIMS, New Delhi, India.

Corresponding Author: Dr. Saroj Kaler Jhajhria, Associate Professor, Department Of Anatomy, AIIMS, New Delhi, India.
E-Mail: sarojkaler@gmail.com


During routine dissection on an adult female cadaver in the department of anatomy, AIIMS, New Delhi we report an abnormally higher level of right kidney and presence of an accessory renal artery for both the kidneys arising from anterior surface of the Abdominal Aorta. Right accessory renal artery was higher in origin. Both the accessory renal arteries entered into the lower pole of their respective kidney. Main renal arteries for both the kidneys were normal in their origin. Another important finding was the presence of duplex renal system on left side i.e. duplicated pyelocaliceal system with partially duplicated (bifid: Y shaped) ureter in the upper one third only. Right ureter was normal. Both the ureters opened in the urinary bladder with their single opening as usual. Knowledge of these developmental anomalies of the urinary system is of immense importance for not only urological conditions but also in surgeries involving renal transplant and radiological interpretation, to avoid complications and ease in management and surgical interventions.

KEY WORDS: Duplex system, Kidney, Renal artery, Ureter.


  1. Sadler TW. Langman’s Medical Embryology. 11th Philadelphia: Wolters Kluwer Lippincott Williams & Wilkins;2010.
  2. Standring S. Gray’s Anatomy: The Anatomical Basis of Clinical Practice. 40th Edinburgh: Churchill Livingstone/Elsevier;2008
  3. Dinanath P, Ashwini A, Annarao G, Nagaraj S. Bilateral Complex Duplex Renal Pelves and Ureters- A Case Report. International Journal of Anatomical Variations. 2011;4:192-194.
  4. Lee s, Kim W, Kang KP, Jeong YB, Kim YK, Jang YB, Park SK. Bilateral Incomplete Double Ureters. Nephrol Dial Transplant.. 2007;22:2720-2721.
  5. Karakose A, Aydogdu O, Atesci YZ. Ulilateral Complete Ureteral Duplication with Distal Ureteral Stone: A Rare Entity. Can Urol Assoc J. 2013;7(7-8):e511-2.
  6. Halim HA, Al-Awadi KA, Kahinde EO, Mahmoud AH. Blind Ending Ureteral Duplication With Calculi. Ann Saudi Med. 2005;25(4):346-348.
  7. Prakash, Rajini T, Venkatiah J, Bharadwaj AK, Singh DK, Singh G. Double Ureter And Duplex System- A Cadaver And Radiological Study. Urol J.2011;8:145-148.
  8. Saito S. Evaluation of Cases Where ThE Right Kidney Is Higher Than The Left Kidney. International Journal of Urology.2003;10:359-363.
  9. Mishra A, Sharma PK, Manik P, Mishra PP. Bilateral Multiple Renal Arteries: A Case Report. OA Anatomy. 2014;2(3):22.
  10. Gupta A, Gupta R, Singha RK. The Accessory Renal Arteries: A Comparative Study In Vertebrates With Its Clinical Implications. Journal of Clinical & Diagnostic Research. 2011;5(5):970-973.
  11. Das S, Dhar P, Mehra RD. Unilateral Isolated Bifid Ureter- A Case Report. J Anat Soc India. 2001;50(1):43-44.
  12. Bozkurt B, Tokac M, Dumlu EG, Yarar O, Kilc M. Modified Extravesical Ureteroneocystostomy In Cadaveric Kidney Transplantation With Duplicated Ureters: A Case Repot. J Transplant Technol Res. 2014;4:2.

Cite this article: Chiman Kumari, Rohini Motwani, Saroj Kaler Jhajhria, Neerja Rani, Pooja Jain, Khursheed Raza, Vidhu Dhawan, Seema Singh. HIGHER RIGHT KIDNEY AND PARTIAL DUPLICATION OF LEFT URETER: A CASE REPORT. Int J Anat Res 2017;5(2.2):3788-3790. DOI: 10.16965/ijar.2017.178