一名52岁男性，双侧重复肾盂集合系统合并输尿管梗阻性结石：病例报告。
A 52-year-old male with bilaterally duplicated collecting systems with obstructing ureteral stones: a case report.
作者信息
Scantling Dane, Ross Curtis, Altman Howard
机构信息
The Philadelphia College of Osteopathic Medicine, Philadelphia, Pa., USA.
Einstein Healthcare Network, Philadelphia, Pa., USA.
出版信息
Curr Urol. 2013 Nov;7(2):104-6. doi: 10.1159/000356257. Epub 2013 Oct 30.
Abstract
Collecting system duplication is marked by a variety of clinical syndromes. Bilateral and obstructed duplicated systems, particularly with asymmetric levels of duplication, are rare and typically due to ureteric bud development anomalies. The infrequency with which this condition exists makes it a formidable challenge for physicians and patients. To our knowledge, we present the first case report of bilateral obstruction of bilaterally duplicated collecting systems. In our case, a 52-year-old male complaining of low back pain, constipation, urinary urgency and hematuria was found to have bilateral obstructing stones as well as asymmetrical bilateral collecting system duplication. We discuss the natural history of this condition, its consequences and identification.
摘要
集合系统重复以多种临床综合征为特征。双侧梗阻性重复集合系统，尤其是重复水平不对称的情况，较为罕见，通常是由于输尿管芽发育异常所致。这种情况的罕见性使其对医生和患者来说都是一项艰巨的挑战。据我们所知，我们首次报告了双侧重复集合系统双侧梗阻的病例。在我们的病例中，一名52岁男性，主诉腰痛、便秘、尿急和血尿，被发现患有双侧梗阻性结石以及不对称的双侧集合系统重复。我们讨论了这种情况的自然病程、后果及识别方法。
相似文献
1
A 52-year-old male with bilaterally duplicated collecting systems with obstructing ureteral stones: a case report.一名52岁男性，双侧重复肾盂集合系统合并输尿管梗阻性结石：病例报告。
Curr Urol. 2013 Nov;7(2):104-6. doi: 10.1159/000356257. Epub 2013 Oct 30.
2
Endourological treatment of bilateral ureteral stones in bilateral ureteral duplication with right ureterocele.双侧重复输尿管伴右侧输尿管囊肿时双侧输尿管结石的腔内治疗
Can Urol Assoc J. 2015 Jul-Aug;9(7-8):E511-3. doi: 10.5489/cuaj.2553.
3
Bilateral obstruction of bilaterally duplicated collecting systems requiring upper and lower moiety drainage.双侧重复集合系统的双侧梗阻，需要上半部分和下半部分引流。
Ann R Coll Surg Engl. 2016 Apr;98(4):e55-8. doi: 10.1308/rcsann.2016.0077.
4
Bilateral complete ureteral duplication with calculi obstructing both limbs of left double ureter.双侧完全性输尿管重复畸形，结石阻塞左侧双输尿管的两个分支。
Int J Surg Case Rep. 2015;6C:23-5. doi: 10.1016/j.ijscr.2014.11.049. Epub 2014 Nov 20.
5
[Diagnostic image (37). Bilateral ureteral reflux at the distal part in a bilaterally duplicated collecting system].[诊断影像（37）。双侧重复集合系统远端双侧输尿管反流]
Ned Tijdschr Geneeskd. 2001 May 12;145(19):909.
6
Single ectopic ureteral orifice with bilateral duplicated renal collecting systems in an adult girl: Diagnosis by magnetic resonance urography.成年女性单侧异位输尿管口伴双侧重复肾集合系统：磁共振尿路造影诊断
Can Urol Assoc J. 2015 Jul-Aug;9(7-8):E554-8. doi: 10.5489/cuaj.2886. Epub 2015 Aug 10.
7
Bilateral complete duplication of the ureters, with calculi simultaneously obstructing the four ureters.双侧输尿管完全重复畸形，结石同时阻塞四条输尿管。
Urol Ann. 2016 Apr-Jun;8(2):226-8. doi: 10.4103/0974-7796.179241.
8
Lower pole pelvi-ureteric junction obstruction in duplicated collecting systems.重复集合系统中下段肾盂输尿管连接部梗阻
BJU Int. 2006 Jan;97(1):161-5. doi: 10.1111/j.1464-410X.2006.05883.x.
9
Extravesical Ectopic Ureteral Calculus Obstruction in a Completely Duplicated Collecting System.完全重复集合系统中的膀胱外异位输尿管结石梗阻
J Endourol Case Rep. 2020 Mar 11;6(1):42-44. doi: 10.1089/cren.2019.0108. eCollection 2020.
10
Extravesical common sheath detrusorrhaphy (ureteroneocystotomy) and reflux in duplicated collecting systems.
J Urol. 2002 Jan;167(1):288-90.
引用本文的文献
1
A giant ureteral stone in a young adult: A case report.一名年轻成年人的巨大输尿管结石：病例报告
Urol Case Rep. 2024 Dec 18;60:102915. doi: 10.1016/j.eucr.2024.102915. eCollection 2025 May.
2
Ureterocele with embedded stone suggesting a diagnosis of bladder tumor: beware of the diagnostic trap! (case report and literature review).伴有嵌顿结石的输尿管囊肿提示膀胱肿瘤诊断：谨防诊断陷阱！（病例报告及文献综述）
Pan Afr Med J. 2024 Dec 13;49:119. doi: 10.11604/pamj.2024.49.119.44949. eCollection 2024.
3
Bilateral complete ureter duplication presenting with hydronephrosis and spontaneous stone passage in a 25-year-old male: A rare case report.一名25岁男性双侧完全性输尿管重复畸形伴肾积水及结石自发排出：一例罕见病例报告
Radiol Case Rep. 2024 Aug 2;19(10):4482-4484. doi: 10.1016/j.radcr.2024.07.069. eCollection 2024 Oct.
4
Surgical Management of Bilateral Single-System Ectopic Ureters (BSSEUs) in a Pediatric Patient: A Report of a Rare Case and Literature Review.小儿双侧单系统异位输尿管（BSSEUs）的手术治疗：1例罕见病例报告及文献复习
Cureus. 2024 May 30;16(5):e61341. doi: 10.7759/cureus.61341. eCollection 2024 May.
5
Ureteral duplicity with a left ureterocele: a case report.输尿管重复合并左侧输尿管囊肿：病例报告。
Pan Afr Med J. 2024 Jan 18;47:21. doi: 10.11604/pamj.2024.47.21.39242. eCollection 2024.
6
Bilateral complete duplication of ureter with ectopic ureter presenting as persistent urinary dribbling with normal voiding pattern in 17-year-old female: Case report.17岁女性双侧输尿管完全重复畸形伴异位输尿管，表现为持续性滴尿且排尿模式正常：病例报告
Ann Med Surg (Lond). 2022 Nov 5;84:104824. doi: 10.1016/j.amsu.2022.104824. eCollection 2022 Dec.
7
Embryology of the urogenital tract; a practical overview for urogynecologic surgeons.泌尿生殖系统胚胎学；泌尿妇科医师实用概述。
Int Urogynecol J. 2021 Feb;32(2):239-247. doi: 10.1007/s00192-020-04587-9. Epub 2020 Oct 29.
8
Complete unilateral ureteral duplication encountered during intersphincteric resection for low rectal cancer.低位直肠癌括约肌间切除术中遇到的完全性单侧输尿管重复畸形。
J Surg Case Rep. 2018 Oct 11;2018(10):rjy266. doi: 10.1093/jscr/rjy266. eCollection 2018 Oct.
9
Unilateral complete ureteral duplication with calculi obstructing both limbs of the left side.左侧单侧完全性输尿管重复畸形伴结石阻塞双侧输尿管分支。
Urol Case Rep. 2018 Mar 31;18:91-93. doi: 10.1016/j.eucr.2018.03.004. eCollection 2018 May.
10
Extravasation of Urine Associated with Bilateral Complete Ureteral Duplication, Vesicoureteral Reflux and Benign Prostatic Hyperplasia.与双侧完全性输尿管重复、膀胱输尿管反流及良性前列腺增生相关的尿液外渗
Urol Case Rep. 2017 Jan 28;11:47-49. doi: 10.1016/j.eucr.2016.12.011. eCollection 2017 Feb.
本文引用的文献
1
Antenatally diagnosed renal duplex anomalies: sonographic features and long-term postnatal outcome.产前诊断的肾脏双肾盂畸形：超声特征与长期产后转归。
J Ultrasound Med. 2011 Jun;30(6):809-15. doi: 10.7863/jum.2011.30.6.809.
2
Duplex collecting system diagnosed during the first 6 years of life after a first urinary tract infection: a study of 63 children.首次尿路感染后6年内诊断出的重复集合系统：63例儿童的研究
J Urol. 2006 Feb;175(2):678-81; discussion 681-2. doi: 10.1016/S0022-5347(05)00184-9.
3
Ureteral duplication and its complications.输尿管重复及其并发症。
Radiographics. 1997 Jan-Feb;17(1):109-27. doi: 10.1148/radiographics.17.1.9017803.
4
Ureteral duplication: clinical findings and therapy in 46 children.输尿管重复畸形：46例儿童的临床发现与治疗
J Urol. 1971 Mar;105(3):445-51. doi: 10.1016/s0022-5347(17)61546-5.
5
Duplications of the renal collecting system in the hereditary osteo-onycho-dysplasia syndrome.遗传性骨-甲-发育不良综合征中的肾集合系统重复畸形。
J Pediatr. 1976 Aug;89(2):261-3. doi: 10.1016/s0022-3476(76)80462-3.
Zotero 插件