Maldonado I, Garibaldi A, Calderón B, Moreno F, Sepúlveda J
Cir Pediatr. 2013 Oct;26(4):195-7.
Ureterocele is an uncommon congenital urinary tract malformation, which consists in a cystic dilation of the vesical portion of the ureter. We present a rare case of ureterocele, reviewing the most important aspects and characteristics that make it so unusual.
Seven year old male admitted for hematuria in the context of afebrile urinary tract infection, the ultrasound revealed a right hydroureteronephrosis (HUN) in a single collecting system and a voiding cystourethogram (VCUG) showed a right ureterocele. A cystoscopy demonstrated the presence of a bilateral orthotopicureterocele in a single collecting system. The patient underwent an endoscopic incision in order to drain the hydronephrotic system. After a month, while performing a check up using ultrasound, we could observe an important reduction in the right HUN, however, it also was acknowledged the presence of dilation of the left distal ureter, reason why it was decided to puncture the left ureterocele.
We present an unusual case: male with a bilateral orthotopicureterocele in a single collecting system and its clinical management. Its particularity is discussed.
输尿管囊肿是一种罕见的先天性尿路畸形，表现为输尿管膀胱段的囊性扩张。我们报告一例罕见的输尿管囊肿病例，回顾其最重要的方面和使其如此特殊的特征。
一名7岁男性因无发热性尿路感染伴血尿入院，超声显示单一集合系统中的右侧肾盂输尿管积水（HUN），排尿性膀胱尿道造影（VCUG）显示右侧输尿管囊肿。膀胱镜检查显示单一集合系统中存在双侧原位输尿管囊肿。患者接受了内镜切开术以引流肾盂积水系统。一个月后，在进行超声检查时，我们观察到右侧HUN有明显减轻，但同时也发现左侧输尿管远端扩张，因此决定穿刺左侧输尿管囊肿。
我们报告了一例不寻常的病例：单一集合系统中双侧原位输尿管囊肿的男性患者及其临床处理。讨论了其特殊性。
