Department of Pediatric Surgery, Faculty of Medicine, University of Gaziantep, Gaziantep, Turkey.
Department of Pediatric Surgery, Faculty of Medicine, University of Gaziantep, Gaziantep, Turkey.
Urology. 2014 Aug;84(2):475-7. doi: 10.1016/j.urology.2014.05.004. Epub 2014 Jun 26.
Paraureteral diverticula are rare in pediatric population. We here present a bladder stone in the congenital paraureteral diverticulum presenting with vesicoureteral reflux. To the best of our knowledge, stone formation in paraureteral diverticulum has not been reported previously. A 5-year-old boy was admitted with the complaint of dysuria. Abdominal ultrasonography revealed a bladder stone in a diverticulum arising from right posterolateral wall and a small right kidney. Voiding cystourethrogram confirmed large bladder diverticulum with vesicoureteral reflux. Cystoscopy revealed a giant stone in the paraureteral diverticulum. The stone was removed with open diverticulectomy and right Cohen ureteroneocystostomy was performed.
输尿管旁憩室在儿科人群中较为罕见。我们在此介绍一例因先天性输尿管旁憩室出现膀胱结石并伴有膀胱输尿管反流的病例。据我们所知，此前尚未有输尿管旁憩室结石形成的报道。一名 5 岁男孩因尿痛就诊。腹部超声显示右后外侧壁憩室中有一枚膀胱结石，右侧肾脏较小。排尿性膀胱尿道造影证实存在巨大膀胱憩室伴膀胱输尿管反流。膀胱镜检查显示输尿管旁憩室中有一枚巨大结石。采用开放憩室切除术取出结石，并进行右侧 Cohen 输尿管膀胱再吻合术。
