重复异位输尿管表现为输卵管积水，伴有慢性盆腔疼痛和复发性尿路感染。

Duplicated ectopic hydroureter presenting as a hydrosalpinx, with chronic pelvic pain and recurrent urinary infections.

作者信息

Hernandez-Rey Armando E, Vitenson Jack, McGovern Peter G

机构信息

Department of Obstetrics, Gynecology, & Women's Health, UMDNJ-New Jersey Medical School, Newark, New Jersey 07310, USA.

出版信息

Fertil Steril. 2007 Dec;88(6):1677.e1-3. doi: 10.1016/j.fertnstert.2007.01.133. Epub 2007 May 4.

DOI:10.1016/j.fertnstert.2007.01.133

PMID:17482175

Abstract

OBJECTIVE

To present a case of a patient with a duplicated left ureter presenting preoperatively as unilateral hydrosalpinx, chronic pelvic pain, and recurrent urinary tract infections (UTIs).

DESIGN

Case report.

SETTING

A large university-affiliated infertility center.

PATIENT(S): A 37-year-old woman, para 1, with an 18-year history of recurrent UTIs associated with coitus, and chronic pelvic pain with a unilateral hydrosalpinx.

MAIN OUTCOME MEASURE(S): Resolution of recurrent UTIs and left flank pain.

RESULT(S): The patient has remained symptom free after laparoscopic resection of the duplicated ureter and portion of the bladder at its point of insertion.

CONCLUSION(S): We show a rare case of a duplicated left ureter presenting as chronic pelvic pain and recurrent UTIs, demonstrating the importance of a thorough chronic pelvic pain workup.

摘要