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一种罕见的肾积水病因:左位下腔静脉后输尿管,无内脏转位或下腔静脉重复,CT 和 US 影像学表现。

A rare cause of hydronephrosis: Left retrocaval ureter without situs inversus or inferior vena cava duplication with CT and US imaging findings.

机构信息

Department of Radiology, Bagcilar Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.

出版信息

J Clin Ultrasound. 2024 Nov-Dec;52(9):1463-1466. doi: 10.1002/jcu.23778. Epub 2024 Aug 3.

Abstract

Retrocaval ureter is a rare congenital anomaly. It usually occurs on the right side and cases on the left side without accompanying conditions such as situs inversus or double inferior vena cava (IVC) are uncommon. Instances of left retrocaval ureter without situs inversus or double IVC are rarely reported in the literature, and there are no cases presented sonographically. In this case, we present a demonstrative sonographic and tomographic images of a left-sided Type 1 retrocaval ureter case where situs inversus and double IVC were not present. In cases where hydronephrosis is detected on ultrasound, a medially displaced ureter should raise suspicion for retrocaval ureter.

摘要

胡桃夹输尿管是一种罕见的先天性异常。它通常发生在右侧,而左侧的病例在没有 situs inversus 或双下腔静脉(IVC)等伴随情况的情况下并不常见。文献中很少报道无 situs inversus 或双 IVC 的左侧胡桃夹输尿管病例,也没有超声表现的病例。在本例中,我们展示了一例左侧 1 型胡桃夹输尿管的超声和断层图像,该病例无 situs inversus 和双 IVC。在超声检查发现肾积水的情况下,输尿管向内侧移位应怀疑胡桃夹输尿管。

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