一名6岁女童出现腔静脉后输尿管——极为罕见。
Retrocaval ureter presenting at 6 years of age in a girl child - An extreme rarity.
作者信息
Kajal Pradeep, Rattan Kamal, Sangwan Vijender, Bhutani Namita
机构信息
Department of Paediatric Surgery, Pt BDS PGIMS Rohtak, Haryana, India.
Nirvana Diagnostic Centre, Rohtak, Haryana, India.
出版信息
Asian J Urol. 2016 Apr;3(2):107-109. doi: 10.1016/j.ajur.2015.10.001. Epub 2015 Oct 24.
Retrocaval ureter is one of the very rare congenital anomalies. We report a case of retrocaval ureter in a 6-year-old girl who presented with right flank pain and hydronephrosis. The diagnosis was made on intravenous urography which showed typical "J" shape deformity in the proximal dilated ureter with moderate hydronephrosis. CT scan delineated the course of ureter. The patient was operated and findings were confirmed. The ureter was transected near the pelvis and a pyeloureteric anastomosis with pre-caval transposition of the ureter was performed and the patient was discharged in fair health.
腔静脉后输尿管是一种非常罕见的先天性异常。我们报告一例6岁女童的腔静脉后输尿管病例，该女童表现为右侧腰痛和肾积水。通过静脉肾盂造影做出诊断，显示近端扩张输尿管呈典型的“J”形畸形并伴有中度肾积水。CT扫描描绘了输尿管的走行。患者接受了手术，术中所见证实了诊断。在肾盂附近切断输尿管，进行肾盂输尿管吻合术并将输尿管经腔静脉前置，患者术后健康状况良好出院。
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