Duicu Carmen, Kiss Eva, Simu Iunius, Aldea Cornel
1st Department of Paediatrics, University of Medicine and Pharmacy, Târgu Mureş, Romania.
Radiology Department, University of Medicine and Pharmacy, Târgu Mureş, Romania.
Front Pediatr. 2018 Jun 19;6:176. doi: 10.3389/fped.2018.00176. eCollection 2018.
The presence of an ectopic ureter may be indicated by continuous wetting, despite a normal voiding pattern, especially in girls. In most cases, an ectopic ureter is associated with a duplex collecting system and complete ureteral duplication. A 5-year-old girl presented with urinary incontinence regardless of the successful toilet training and a suspicion of left duplex kidney on a previous ultrasound. Contrast-enhanced computed tomography revealed a double left kidney with double ureters, both inserting together into the vagina. The surgical treatment consisted in the "en block" reimplantation of the ectopic ureters into the bladder, with complete resolution of the symptoms. The reported case does not represent just a typical presentation of a single ectopic ureter, as the duplex kidney system had (with insertion into the vagina). This case reminds us that congenital abnormalities of the genito-urinary tract should be considered in case of urinary incontinence and recurrent urinary tract infections.
尽管排尿模式正常，但持续出现尿床现象可能提示存在异位输尿管，这在女孩中尤为常见。在大多数情况下，异位输尿管与重复集合系统及完全性输尿管重复有关。一名5岁女孩尽管成功完成了如厕训练，但仍存在尿失禁问题，之前的超声检查怀疑有左侧重复肾。增强计算机断层扫描显示左肾双肾盂及双输尿管，二者共同插入阴道。手术治疗为将异位输尿管“整块”再植于膀胱内，症状完全缓解。该病例报告并非仅为单一异位输尿管的典型表现，因为其重复肾系统（输尿管插入阴道）。该病例提醒我们，在出现尿失禁和反复尿路感染时，应考虑泌尿生殖道先天性异常。
