Ureteric quadruplication is an extremely rare congenital anomaly. It was first reported in 1975. They are usually associated with other congenital anomalies and usually symptomatic. Surgical treatment varies and is based on investigational and operative findings. Our patient was a middle aged woman presented with left flank pain. We present radiologic and cystoscopic images of this patient .CT scan revealed left duplicated moiety with non functioning upper moiety. Cystoscopy showed ectopic 3 ureteric orifices just distal to bladder neck along with bilateral normal orifices. She underwent left heminephrectomy