Ohzeki Takayuki, Adomi Shogo, Esa Atsunobu, Park Young-Chol
The Department of Urology, NTT West Osaka Hospital.
Hinyokika Kiyo. 2012 Aug;58(8):453-6.
The patient was a 53-year-old woman with chief complaints of repeated pyrexia and pus discharge from the perineal region. A macroscopic examination revealed the presence of a fistula in the anterior wall of the vagina ; magnetic resonance imaging, retrograde urography through the fistula, and excretory urography indicated that the fistula was a complete left ureteral duplication with an opening on the anterior wall of the vagina. Laparoscopic ureterectomy of the left ectopic ureter was performed to achieve a complete cure. The ectopic ureteral opening led to a blind canal in the superior pole of the kidney. No postoperative complications were observed, and the symptoms disappeared. This is a rare case in which the patient, who did not have any symptoms until she became an adult, was diagnosed as having left ureteral duplication with the opening on the anterior wall of the vagina when pus was drained from the perineal region.
患者为一名53岁女性，主要症状为反复发热及会阴部脓性分泌物。肉眼检查发现阴道前壁存在瘘管；磁共振成像、经瘘管逆行尿路造影及排泄性尿路造影显示，该瘘管为完全性左侧输尿管重复畸形，开口于阴道前壁。行腹腔镜下左侧异位输尿管切除术以实现彻底治愈。异位输尿管开口通向肾上级的盲管。术后未观察到并发症，症状消失。这是一例罕见病例，患者成年前无症状，成年后会阴部出现脓性分泌物时被诊断为左侧输尿管重复畸形且开口于阴道前壁。
