Bernstein Ari P, Schulster Michael, Chao Brian, Silva Mark V
Department of Urology, Albert Einstein College of Medicine, Bronx, New York, USA.
Department of Urology, NYU Langone Medical Center, New York, New York, USA.
J Endourol Case Rep. 2020 Sep 17;6(3):103-106. doi: 10.1089/cren.2019.0142. eCollection 2020.
Bilateral ureteroceles in adult males are a rare occurrence, made even more so with simultaneous presence of bladder calculi. Management strategies for such patients are not well documented in the literature. We present a rare case of bilateral open ureteroceles with large concomitant bladder calculi to contribute to the paucity of literature on management of such patients. We present the case of a 35-year-old man whose gross hematuria work-up demonstrated right-sided hydroureteronephrosis in the setting of bilateral ureteroceles and multiple large bladder calculi up to 3.8 cm. Bilateral orthotopic single-system ureteroceles in an adult male are a rare finding especially when intraoperatively found to be open secondary to traumatic effects of large calculi. Ultrasonic and pneumatic lithotripsy is a safe, appropriate, and effective option for bilateral ureteroceles contributing to a large bladder stone burden. Our report contributes to the growing body of literature on orthotopic bilateral single-system ureteroceles in the adult population with concomitant significant stone burden.
双侧输尿管囊肿在成年男性中较为罕见，若同时伴有膀胱结石则更为少见。文献中对此类患者的治疗策略记载不多。我们报告一例罕见的双侧开放性输尿管囊肿合并巨大膀胱结石的病例，以补充此类患者治疗方面的文献不足。我们介绍一名35岁男性患者，其肉眼血尿检查发现双侧输尿管囊肿及多个直径达3.8厘米的巨大膀胱结石，伴有右侧肾盂积水。成年男性双侧原位单系统输尿管囊肿是罕见的发现，尤其是术中发现因大结石的创伤性影响而呈开放状态。超声和气压弹道碎石术是治疗双侧输尿管囊肿合并巨大膀胱结石负担的一种安全、合适且有效的选择。我们的报告为成年人群中伴有显著结石负担的原位双侧单系统输尿管囊肿的文献积累做出了贡献。
