Al-Smair Ali, Saadeh Ahmad, Azizieh Omar, Al-Ali Ahmad
Department of Radiology, Medray International Radiology Center, Amman, JOR.
Faculty of Medicine, The University of Jordan, Amman, JOR.
Cureus. 2022 Mar 29;14(3):e23609. doi: 10.7759/cureus.23609. eCollection 2022 Mar.
The ureters are muscular tubes that carry urine from the kidneys to the urinary bladder and are typically implanted in the superolateral angle of the trigone of the urinary bladder. Although renal anomalies are common, especially in the kidneys, ectopia of the ureter is rare. Clinical presentation depends on the insertion of the ectopic ureter, varying from asymptomatic (mostly in males) to recurrent urinary tract infections (UTIs) and incontinence (mostly in females). Radiology is the best diagnostic tool to achieve a diagnosis. Ultrasound (US), intravenous renogram (IVR), micturition cystourethrogram (MCUG), and others are used to diagnose ectopic ureters, with US and MCUG being the gold standard modalities. Treatment depends on the functionality of the part drained by the ectopic ureter. Heminephroureterectomy and ureteroureterostomy are among surgical treatments for ectopic ureter, and it is either open or laparoscopic surgery. Herein, we present a case of a four-year-old female patient who presented with recurrent UTIs and incontinence.
输尿管是将尿液从肾脏输送到膀胱的肌性管道，通常植入膀胱三角区的外上角。虽然肾脏异常很常见，尤其是在肾脏方面，但输尿管异位却很少见。临床表现取决于异位输尿管的插入部位，从无症状（主要见于男性）到反复尿路感染（UTIs）和尿失禁（主要见于女性）不等。放射学检查是实现诊断的最佳诊断工具。超声（US）、静脉肾盂造影（IVR）、排尿性膀胱尿道造影（MCUG）等用于诊断异位输尿管，其中US和MCUG是金标准检查方法。治疗取决于异位输尿管所引流部位的功能。半肾输尿管切除术和输尿管输尿管吻合术是异位输尿管的手术治疗方法，可采用开放手术或腹腔镜手术。在此，我们报告一例4岁女性患者，她表现为反复尿路感染和尿失禁。
