Tsikopoulos Ioannis, Cuziurova Dileara, Galanoulis Konstantinos, Kalogiannis Dimitrios, Skriapas Konstantinos
Department of Urology, General Hospital of Larissa, Larissa, Greece.
Folia Med (Plovdiv). 2022 Oct 31;64(5):844-848. doi: 10.3897/folmed.64.e68429.
Duplication of the ureter is a common congenital malformation, which unfortunately may be accompanied by unpleasant and challenging pathologies. Hereby, a rare case of a patient with obstructive urolithiasis secondary to undiagnosed complete ureteral duplication is presented. A single large calculus in the vesicoureteral junction was obstructing both duplicated ureters. The aim of this article was to discuss both the challenges arising from this clinical entity and the diagnostic approaches. In such complicated cases combined with suspected pyelonephritis or severe hydronephrosis, the option of an urgent lithotripsy should be considered. The obstructed orifices are often inflammatory, hindering their stenting. Asymptomatic and undiagnosed patients with completely duplicated ureters are prone to severe complications. Thus, early screening of these patients is an imperative need for the clinician.
输尿管重复是一种常见的先天性畸形，不幸的是，它可能伴有令人不适且具有挑战性的病理状况。在此，报告一例罕见病例，该患者因未被诊断出的完全性输尿管重复继发梗阻性尿路结石。膀胱输尿管交界处的一枚大结石阻塞了两条重复的输尿管。本文旨在讨论这一临床实体所带来的挑战以及诊断方法。在这类合并疑似肾盂肾炎或严重肾积水的复杂病例中，应考虑紧急碎石术这一选择。梗阻的管口往往有炎症，妨碍支架置入。完全性输尿管重复的无症状且未被诊断的患者容易发生严重并发症。因此，对这些患者进行早期筛查是临床医生的迫切需求。
