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An incomplete duplex renal system is a common finding in general population with female predominance and is often asymptomatic. However complete renal duplication is an entity which due to aberrant insertion of ureter may lead to various complications with significant pathology, and often with long-term morbidity [1]. In a duplicated system according to Weigert-Meyer rule upper pole ureter insert inferolaterally and lower pole ureter superomedially which normally results in upper pole obstruction and lower pole reflux [2, 3]. In our case right upper pole was dilated due to ectopic ureterocele and left upper pole was grossly dilated with ectopic insertion of ureter at urethrovaginal septum. Even with urinary incontinence from birth, female patients do not seek early treatment and often present at later age with complications. Variable presentation of a complete duplicated renal system as in our patient highlights diagnostic and therapeutic challenges in management of such cases. 2. CASE DESCRIPTION

Bilateral Complete Duplicated Renal System and its Uncommon Presentation in a Young Female