Iritani Y, Yoshimoto M, Yamaguchi T, Maekawa M
Department of Urology, Yao Municipal Hospital.
Hinyokika Kiyo. 1989 Jun;35(6):1041-5.
A case of fused pelvic kidney, in a 67-year-old woman is presented. The patient also had a bladder tumor that had invaded the bladder wall. The renal anomaly was confirmed by drip infusion pyelography, computed tomography scanning, (CT-scan) and angiography. The CT-scan showed lump kidney with an aplastic right kidney anterior to the sacrum. Two renal arteries derived from the right common iliac artery were demonstrated by pelvic-angiography. The right ureter was not identified during the total-cystectomy. The left ureter was fixed firmly to the surrounding tissues and its free portion was less than 7 cm long. Thus left ureterocutaneostomy was selected for the formation of the urinary diversion.
本文报告一例67岁女性融合性盆腔肾病例。该患者还患有侵犯膀胱壁的膀胱肿瘤。通过静脉滴注肾盂造影、计算机断层扫描（CT扫描）和血管造影确诊了肾脏异常。CT扫描显示肿块肾，右肾缺如，位于骶骨前方。盆腔血管造影显示两条肾动脉起源于右髂总动脉。在全膀胱切除术中未发现右侧输尿管。左侧输尿管与周围组织紧密粘连，其游离部分长度小于7cm。因此，选择左侧输尿管皮肤造口术进行尿液改道。
