Soundappan S V S, Barker A P
Department of Paediatric Surgery, Princess Margaret Hospital, Perth, Western Australia.
Pediatr Surg Int. 2004 Feb;20(2):158-60. doi: 10.1007/s00383-003-1038-x. Epub 2004 Feb 10.
Retrocaval ureter is a relatively rare anomaly that usually manifests in the third or fourth decades. Symptoms are due to ureteric obstruction, either extrinsic by the abnormal inferior vena cava (IVC), or intrinsic ureteric hypoplasia. Surgery is needed for symptomatic cases and involves transection and relocation of the ureter anterior to the IVC. We report our experience with two such children who needed surgery because of increasing hydronephrosis and who have done well since.
腔静脉后输尿管是一种相对罕见的异常情况,通常在第三或第四个十年出现。症状是由于输尿管梗阻,要么是由异常的下腔静脉(IVC)外在压迫所致,要么是输尿管内在发育不全所致。有症状的病例需要手术,手术包括在IVC前方横断并重新安置输尿管。我们报告了我们对两名此类儿童的治疗经验,他们因肾积水加重而需要手术,术后恢复良好。