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Urinary tract abnormalities such as ureteric duplication and ectopic insertion may result in difficulty accessing the distal ureter to treat obstructing stones. This case illustrates the feasibility of treating distal ureteric stones with antegrade flexible ureteroscopy.

Antegrade Ureteroscopy for an Obstructing Distal Ureteric Stone in a Partial Duplex System with Ectopic Distal Insertion