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We report a case of inadvertent insertion of a 14-Fr Foley's catheter through the orifice of one branch of a previously unrecognised duplex ureter. The unintentional insertion of the catheter occurred at urethral catheterisation during laparotomy for gynaecological malignancy and lead to false intraoperative identification of the female anatomy and injury to the ureter. Postoperatively, cystoscopy and intravenous urography confirmed the existence of a duplex ureter on the affected side.

Inadvertent insertion of a Foley’s catheter through the orifice of a duplex ureter during catheterisation for laparotomy