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一名小儿患者右侧肾萎缩合并异位输尿管病例

A Case of Ectopic Ureter With Right Atrophied Kidney in a Pediatric Patient.

作者信息

Kaplish Divyanshi, Vagha Jayant D, Meshram Revat J, Lohiya Sham, Hampe Priyanka

机构信息

Pediatrics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Feb 1;16(2):e53360. doi: 10.7759/cureus.53360. eCollection 2024 Feb.

Abstract

An ectopic ureter (EU) is a ureter that does not connect appropriately to the bladder and drains somewhere other than the urinary bladder. Ectopic ureter is not so common in kidney anomalies. In men, the EU usually opens near the prostate into the urethra; however, in females, it mainly opens into organs of reproduction or into the urethra. Differential diagnosis of urinary incontinence from other causes, such as EU has a potential cure through surgery. Most women with ectopic ureters have duplex kidneys. An EU emptying a single-system ectopic dysplastic but functioning kidney is uncommon, especially in females. Computed tomography and magnetic resonance imaging provide a clearer image of the ectopic kidney. The surgical techniques used to correct this type of EU are determined based on the functioning of the kidney and anomalies related to the EU site. This is a case of a 9-year-old female who presented with complaints of dribbling urine, which was discovered to be caused by an ectopic ureter with an atrophic kidney.

摘要

异位输尿管(EU)是指输尿管未与膀胱正常连接,而是引流至膀胱以外的其他部位。异位输尿管在肾脏异常中并不常见。在男性中,异位输尿管通常开口于前列腺附近的尿道;然而,在女性中,它主要开口于生殖器官或尿道。将尿失禁与其他原因(如异位输尿管)进行鉴别诊断,通过手术有可能治愈。大多数患有异位输尿管的女性有重复肾。排空单系统异位发育不良但仍有功能的肾脏的异位输尿管并不常见,尤其是在女性中。计算机断层扫描和磁共振成像能更清晰地显示异位肾。用于纠正此类异位输尿管的手术技术是根据肾脏的功能以及与异位输尿管部位相关的异常情况来确定的。这是一名9岁女性的病例,她因尿液滴沥前来就诊,经检查发现是由伴有萎缩肾的异位输尿管所致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a6d/10907904/adba3c40b73b/cureus-0016-00000053360-i01.jpg

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