Gupta Rupesh, Gupta Sweta, Khan Dawood, Basu Supriya
Senior Resident, Department of Urology, R G Kar Medical College and Hospital, Kolkata, West Bengal, India.
Junior Resident Department of Obstetrics and Gynaecol, R G Kar Medical College and Hospital, Kolkata, West Bengal, India.
J Clin Diagn Res. 2017 Jul;11(7):PD01-PD02. doi: 10.7860/JCDR/2017/28054.10134. Epub 2017 Jul 1.
The ureterocele is an uncommon congenital anomaly of the lower ureter. Ureterocele with a single pelvicalyceal system, bilateral, and orthotopic variety is less common. Calculi within bilateral ureterocele are a rare occurrence. To the best of our knowledge, only a few similar cases have been reported in the literature. Among the all reported presentations of this type of ureterocele, presentation with Acute Urinary Retention (AUR) has not been described in the literature. We present a case of nine-year-old child having bilateral, single system orthotopic ureterocele with calculi in bilateral ureterocele and presented with AUR due to obstructive bulbar urethral calculus. The bilateral endoscopic incision was given and all four calculi were removed endoscopically through percutaneous route. Voiding cystourethrography after two years follow-up was non-refluxing. The purpose of reporting this case is the rarity of the disease and to emphasize that delay in diagnosis and treatment of these cases may lead to complications such as recurrent urinary tract infection and renal failure.
输尿管囊肿是下输尿管一种罕见的先天性异常。单肾盂肾盏系统、双侧及正位型输尿管囊肿较为少见。双侧输尿管囊肿内形成结石的情况罕见。据我们所知，文献中仅报道过少数类似病例。在所有已报道的此类输尿管囊肿病例中，因急性尿潴留（AUR）就诊的情况在文献中尚未见描述。我们报告一例9岁儿童，患有双侧单系统正位输尿管囊肿，双侧输尿管囊肿内有结石，并因梗阻性球部尿道结石出现急性尿潴留。实施了双侧内镜下切开术，通过经皮途径内镜取出了所有4枚结石。随访两年后的排尿性膀胱尿道造影显示无反流。报告该病例的目的在于该疾病的罕见性，并强调此类病例诊断和治疗的延迟可能导致诸如反复尿路感染和肾衰竭等并发症。
