Watanabe H, Hori T, Sasaki S, Noguchi Y, Washida H
Nihon Hinyokika Gakkai Zasshi. 1989 Dec;80(12):1824-7. doi: 10.5980/jpnjurol1989.80.1824.
A case of cecoureterocele in a 22-month-old girl is reported. She was admitted because of recurrent urinary tract infection associated with fever and dysuria. Excretory urogram showed a left duplex kidney with hydroureteronephrosis of the upper and lower moieties. Although the left upper moiety was hypofunctioned, some excretion of contrast medium was noted. Voiding cystourethrography demonstrated reflux into the left upper moiety, and a prominent dilation of the bladder neck and the urethra. Bladder sonography demonstrated an ectopic ureterocele at the bladder neck, and it was diagnosed as a cecoureterocele by endoscopic examination. Left pyelopyelostomy, total ureterectomy from the left upper half kidney and open resection of the ureterocele were performed together with reimplantation of the left lower ureter using Cohen technique in 1 stage. At the operation, the left lower ureter was confirmed as a typical obstructive megaureter. Convalescence was uneventful, and postoperative excretory urogram revealed an improvement of the left pyeloureterogram. But the postoperative voiding cystourethrography showed a remnant of cecoureterocele in the urethra causing bladder outlet obstruction. Endoscopic incision of the remnant cele wall in the urethra resulted in marked improvement in voiding and complete resolution of urinary tract infection. A brief review of cecoureterocele was given.
报道了一名22个月大女孩的盲端输尿管囊肿病例。她因反复出现与发热和排尿困难相关的尿路感染而入院。排泄性尿路造影显示左重复肾，上半部分和下半部分均有输尿管肾积水。尽管左上部功能减退，但仍可见造影剂有一些排泄。排尿性膀胱尿道造影显示造影剂反流至左上部，膀胱颈和尿道明显扩张。膀胱超声检查显示膀胱颈处有异位输尿管囊肿，经内镜检查诊断为盲端输尿管囊肿。一期行左肾盂肾盂造瘘术、左肾上半部分输尿管全切术、输尿管囊肿开放切除术，并采用科恩技术将左下半部分输尿管再植。术中证实左下半部分输尿管为典型的梗阻性巨输尿管。恢复过程顺利，术后排泄性尿路造影显示左肾盂输尿管造影有所改善。但术后排尿性膀胱尿道造影显示尿道内有盲端输尿管囊肿残留，导致膀胱出口梗阻。经内镜切开尿道内残留的囊肿壁后，排尿情况明显改善，尿路感染完全消退。本文对盲端输尿管囊肿进行了简要综述。
