Battin Alexander, Fakadej Thomas, Crigger Chad, Al-Omar Osama, Luchey Adam
School of Medicine, West Virginia University, Morgantown, WV, USA.
Department of Urology, West Virginia University, 1 Medical Center Dr, Morgantown, WV, 26506, USA.
Urol Case Rep. 2021 Jan 8;36:101562. doi: 10.1016/j.eucr.2021.101562. eCollection 2021 May.
Bilateral intravesical ureteroceles is a rare condition where both ureters terminally end in cystic dilations in the urinary bladder. Herein, a 31-year-old male patient presented with severe right flank pain and gross hematuria. Upon computed tomography imaging, a right ureterocele with an entrapped stone was revealed. Direct visualization also showed a smaller ureterocele at the left ureterovesical junction. Both ureteroceles were unroofed using rigid resectoscope with cold knife resulting in rapid bilateral efflux. The treatment was well tolerated with no known complications. Albeit uncommon, this case highlights the need to consider ureteroceles in adult patients with urinary tract symptoms.
双侧膀胱内输尿管囊肿是一种罕见的病症，双侧输尿管均在膀胱内呈囊性扩张。在此，一名31岁男性患者出现严重的右侧胁腹疼痛和肉眼血尿。计算机断层扫描成像显示右侧输尿管囊肿伴有嵌顿结石。直视检查还发现左侧输尿管膀胱连接处有一个较小的输尿管囊肿。使用硬式电切镜和冷刀对两个输尿管囊肿进行去顶术，从而实现双侧快速引流。该治疗耐受性良好，无已知并发症。尽管不常见，但该病例强调了在有尿路症状的成年患者中需要考虑输尿管囊肿。
