Derevianko I M, Derevianko T I
Vestn Khir Im I I Grek. 1987 May;138(5):107-10.
The ectopy of the ureter orifices and ureterocele are always followed by either mechanical or dynamic obstruction of the ureter and obstructive pyelonephritis. These anomalies are periodically accompanied by abdominal pains which make their appearance during an attack of acute pyelonephritis. These abdominal pains can be erroneously taken for symptoms of appendicitis or intestinal obstruction and the patients are subjected to appendectomy or laparotomy by mistake. The erroneous appendectomy or laparotomy were fulfilled in 47 of 201 patients with ectopy of ureter orifices and ectopic ureterocele which were observed by the authors. The differentiation of genesis of abdominal pains may be more exact with the help of chromocystoscopy, excretory urography and isotopic renography.
输尿管口异位及输尿管囊肿常伴有输尿管机械性或动力性梗阻以及梗阻性肾盂肾炎。这些异常情况会周期性地伴随腹痛，腹痛在急性肾盂肾炎发作时出现。这些腹痛可能被误诊为阑尾炎或肠梗阻的症状，患者因此被误行阑尾切除术或剖腹手术。作者观察的201例输尿管口异位和异位输尿管囊肿患者中，有47例被误行阑尾切除术或剖腹手术。借助膀胱染色镜检查、排泄性尿路造影和同位素肾造影，可更准确地鉴别腹痛的成因。
