Department of Radiology, The First Affiliated Hospital, Sun Yat-Sen University, No. 58 Zhongshanerlu Road, Guangzhou, Guangdong, People's Republic of China.
Department of Pathology, The First Affiliated Hospital, Sun Yat-Sen University, No. 58 Zhongshanerlu Road, Guangzhou, Guangdong, People's Republic of China.
Surg Radiol Anat. 2022 Mar;44(3):475-478. doi: 10.1007/s00276-021-02878-4. Epub 2022 Jan 5.
We present the first case of a right ectopic ureter ending in epididymis combined with an ipsilateral complete duplex kidney, presenting with painless right scrotal mass and demonstrated by magnetic resonance imaging (MRI). The boy was initially diagnosed as right testicular teratoma by ultrasound, and then underwent surgical treatment. Because of recurrence of right scrotal swelling 1 year later, MR scan was performed. MR images with body coil displayed the entire ectopic ureter, and MR images with small surface coil clearly showed anatomic details of right ureteral ectopia into epididymis. Delayed-enhanced MRI showed contrast agent in the right dilated epididymis. The boy finally received the curative right upper pole nephronureterectomy.
我们报告首例右侧异位输尿管开口于附睾合并同侧完全重复肾的病例，该病例以无痛性右侧阴囊肿块为表现，经磁共振成像（MRI）证实。患儿最初超声诊断为右侧睾丸畸胎瘤，后接受了手术治疗。1 年后因右侧阴囊肿胀复发，行磁共振扫描。体线圈磁共振图像显示了整个异位输尿管，而小表面线圈磁共振图像清晰显示了右侧输尿管异位开口于附睾的解剖细节。延迟增强 MRI 显示右侧扩张附睾内有造影剂。患儿最终接受了右侧肾盂输尿管上段根治性切除术。
