Cancian Madeline, Brito Joseph, Renzulli Joseph, Pareek Gyan
Department of Urology, Minimally Invasive Urology Institute, Brown University , Providence, Rhode Island.
J Endourol Case Rep. 2016 Nov 1;2(1):209-211. doi: 10.1089/cren.2016.0098. eCollection 2016.
A twenty-eight-year-old female with a history of suprapubic pain and recurrent urinary tract infections presents for urology referral with a kidney, ureter, and bladder radiograph showing a 4.4 cm bladder calculus and 6.5 cm distal left ureteral stone. She underwent effective cystolitholapaxy of the bladder stone. Endourologic attempt (left ureteroscopy) was unsuccessful because of ureteral stone burden. Findings at ureteroscopy revealed a duplicated system on the left with the lower pole moiety joining just proximal to the ureteral orifice. The stone was found to be in the upper pole moiety ureter. An open ureterolithotomy was performed with intraoperative ureteroscopic laser lithotripsy and common sheath ureteral reimplant. Furthermore, a previously placed stent was found to be encrusted at the time of the ureterolithotomy. Effective ureteroscopy and lasering were performed through the ureterotomy up to the renal pelvis of the upper pole ureter.
一名28岁女性，有耻骨上疼痛和复发性尿路感染病史，因泌尿系统平片显示有一枚4.4厘米的膀胱结石和一枚6.5厘米的左侧输尿管下段结石而转诊至泌尿外科。她接受了有效的膀胱结石碎石取石术。由于输尿管结石负荷，内镜治疗尝试（左侧输尿管镜检查）未成功。输尿管镜检查发现左侧为重复系统，下极部分在输尿管口近端汇合。结石位于上极部分输尿管。进行了开放性输尿管切开取石术，术中采用输尿管镜激光碎石术和共用鞘输尿管再植术。此外，在输尿管切开取石术时发现一根先前放置的支架已被结石包裹。通过输尿管切开处进行了有效的输尿管镜检查和激光治疗，直至上极输尿管肾盂。
