Duong David T, Shortliffe Linda Md
Department of Urology, Stanford University School of Medicine, Stanford, CA 94305-5118, USA.
Nat Clin Pract Urol. 2008 Nov;5(11):632-6. doi: 10.1038/ncpuro1220. Epub 2008 Oct 7.
A 14-year-old girl with a solitary right kidney had continuous urinary incontinence. Four months previously she had undergone surgical resection of a vaginal septum associated with uterus didelphys, which was causing obstructed menstrual flow. She was toilet trained at the age of 2 years, had a normal voiding pattern, and had no history or family history of incontinence.
Pelvic examination, abdominal and pelvic ultrasonography, renal scintigraphy, voiding cystourethrography, abdominal and pelvic MRI, fluoroscopic retrograde vaginography, vaginoscopy, cystourethroscopy after administration of indigo carmine, laparoscopy, and pathologic examination of the excised specimen.
Ectopic ureter draining into the vagina associated with a contralateral dysplastic kidney.
Laparoscopic nephrectomy of the left renal remnant and ligation of the left distal ureter.
一名14岁的独肾女孩持续存在尿失禁。4个月前，她接受了与双子宫相关的阴道纵隔手术切除，该纵隔导致月经流出受阻。她在2岁时接受了如厕训练，排尿模式正常，且无尿失禁病史或家族史。
盆腔检查、腹部和盆腔超声检查、肾闪烁显像、排尿性膀胱尿道造影、腹部和盆腔MRI、荧光透视逆行阴道造影、阴道镜检查、靛胭脂给药后膀胱尿道镜检查、腹腔镜检查以及切除标本的病理检查。
异位输尿管引流至阴道，伴有对侧发育异常肾。
腹腔镜下切除左肾残余组织并结扎左输尿管远端。
