Uchibayashi T, Hisazumi H, Kunimi K, Yamaguchi K, Kawaguchi S, Ohkawa M
Hinyokika Kiyo. 1987 Jan;33(1):79-84.
Herein we report two cases of complete ureteric duplication associated with ureterocele. A 4-month-old girl with non-visualizing left kidney was hospitalized with complaints of cloudy urine and fever. An antegrade left pyelogram revealed a completely duplicated collecting system; a duplex tortuous ureter, and round radiolucent filling defect in the bladder. Under the diagnosis of completely duplicated ureter associated with the upper pole ureterocele, ureterocystoneostomy was performed. A circumferential incision was made around the base of the ureterocele and the Politano-Leadbetter technique was employed. Her postoperative course was uneventful. However, an excretory urogram showed a mild hydronephrotic upper pole. A 1-year and 4-month-old girl with the history of repeated urinary tract infections and fever attacks was admitted. The excretory urogram showed a left hydronephrotic lower pole with a "drooping flower" and no opacification of the upper pole. A radiolucent filling defect was seen in the bladder. A left antegrade pyelogram demonstrated the massively dilated upper pole with a hydroureter terminating in the ureterocele. Left heminephrectomy with partial ureterectomy was performed and left hydronephrosis and hydroureter with an atrophic kidney were seen. The postoperative course was uneventful.
在此，我们报告两例与输尿管囊肿相关的完全性输尿管重复畸形病例。一名4个月大的女童，左肾不显影，因尿液浑浊和发热入院。顺行性左肾盂造影显示一个完全重复的集合系统；一条双肾盂输尿管迂曲，膀胱内有圆形透光性充盈缺损。在诊断为完全性重复输尿管合并上极输尿管囊肿后，进行了输尿管囊肿膀胱造口术。在输尿管囊肿底部周围做环形切口，并采用Politano-Leadbetter技术。她的术后过程顺利。然而，排泄性尿路造影显示上极有轻度肾积水。一名1岁4个月大的女童，有反复尿路感染和发热发作史，入院。排泄性尿路造影显示左肾下极肾积水呈“下垂花朵”状，上极无造影剂充盈。膀胱内可见透光性充盈缺损。左顺行性肾盂造影显示上极大量扩张，输尿管积水，末端为输尿管囊肿。行左半肾切除术及部分输尿管切除术，可见左肾积水、输尿管积水及萎缩肾。术后过程顺利。
