Ezaki Taisuke, Hongo Hiroshi
Department of Urology, Nerima General Hospital, Tokyo, Japan.
Urol Case Rep. 2023 Jan 19;47:102330. doi: 10.1016/j.eucr.2023.102330. eCollection 2023 Mar.
Ureterocele, a type of ectopic ureter characterized by cystic dilation of the distal ureter, can sometimes contain stones. Here, we present the case of a 67-year-old woman who was under observation for ureteral stone and experienced spontaneous ureterocele wall ruptured due to the stone. As illustrated in the present case, conservative observation, which is recommended as initial management of stones in ureterocele to reduce the risk of vesicoureteral reflux following transurethral ureterocele incision, may be associated with increased risk of ureterocele wall rupture and subsequent vesicoureteral reflux.
输尿管囊肿是一种异位输尿管，其特征为远端输尿管的囊性扩张，有时可含有结石。在此，我们报告一例67岁女性病例，该患者因输尿管结石接受观察，结石导致输尿管囊肿壁自发性破裂。如本病例所示，对于输尿管囊肿内结石的初始治疗，推荐采用保守观察以降低经尿道输尿管囊肿切开术后膀胱输尿管反流的风险，但这可能会增加输尿管囊肿壁破裂及随后膀胱输尿管反流的风险。
