Obara Wataru, Konda Ryuichiro, Seo Takashi, Ishikawa Ken, Kinjo Manabu, Fujioka Tomoaki
Department of Urology, Iwate Medical University School of Medicine, Morioka, Japan.
Int J Urol. 2006 Apr;13(4):395-6. doi: 10.1111/j.1442-2042.2006.01315.x.
An anterior urethral valve with diverticulum is an uncommon cause of congenital urethral obstruction and urinary extravasation compared with a posterior urethral valve. We report a neonate presenting with an abdominal wall urinoma caused by rupture of an anterior urethral diverticulum. Urine drainage via urethral catheter was effective to resolve the abdominal urinoma. Voiding cystourethrogram performed 6 months after an endoscopic incision of the distal margin of the diverticulum revealed a normal urethra with smooth voiding. To our knowledge, no similar case has been reported previously.
与后尿道瓣膜相比,前尿道瓣膜伴憩室是先天性尿道梗阻和尿外渗的少见原因。我们报告一例因前尿道憩室破裂导致腹壁尿瘤的新生儿。经尿道导管引流尿液有效解决了腹壁尿瘤问题。在对憩室远端边缘进行内镜下切开6个月后进行的排尿性膀胱尿道造影显示尿道正常,排尿顺畅。据我们所知,此前尚无类似病例报道。