Beland Leah E, Henry Mark A, Solomon Tania, Ogan Kenneth
University of Central Florida College of Medicine, Orlando, FL.
Department of Urology, Emory University School of Medicine, Atlanta, GA.
Urology. 2019 Feb;124:e1-e3. doi: 10.1016/j.urology.2018.11.025. Epub 2018 Nov 23.
Diaphragmatic herniations of the ureter are a rare occurrence overall, with fewer than 10 cases reported. Obstructing nephrolithiasis in the setting of diaphragmatic ureteral herniation has sparsely been documented. Management options to consider include ureteroscopy and laser lithotripsy to alleviate obstruction in herniated ureters. The abnormal path of the ureter and surrounding structures pose unique risks that require careful attention and a high level of operator skill. We present imaging of an 84-year-old woman incidentally found to have right ureteral herniation through the diaphragm with an obstructing 8 mm stone in the right proximal ureter with moderate hydronephrosis.
输尿管膈疝总体上较为罕见，报告的病例少于10例。关于膈输尿管疝合并梗阻性肾结石的记录很少。可考虑的治疗选择包括输尿管镜检查和激光碎石术，以缓解疝入输尿管的梗阻。输尿管的异常走行和周围结构带来了独特的风险，需要密切关注并要求术者具备高水平的操作技能。我们展示了一名84岁女性的影像学检查结果，该患者偶然发现右输尿管经膈肌疝出，右近端输尿管有一枚8mm的梗阻性结石，并伴有中度肾积水。
