2型腔静脉后输尿管伴左肾萎缩：1例罕见病例报告。
Right retrocaval ureter type 2 with left atrophied kidney: A rare case report.
作者信息
Al-Shalah Mustafa I, Altawallbeh Zaid F, Al Sharqi Rashed Yousef, Alzawahreh Mohammad Kh, Abulawi Raed Bassam, Saad Mohab Alsaid, Hanafi Yousif Ahmad, Alnajada Laith, Alfreahat Ala' Mohammad Yaser
机构信息
Department of Urology, Al Basheer Hospital, Amman, Jordan.
Al Nadeem Hospital, Madaba, Jordan.
出版信息
Urol Case Rep. 2025 Jan 11;59:102936. doi: 10.1016/j.eucr.2025.102936. eCollection 2025 Mar.
CASE
A 22-year-old male smoker presented with intermittent right flank pain lasting over a year. He had a history of atrophied left kidney and gout. Physical exam revealed mild right renal angle tenderness.
OUTCOME
Initial imaging, pointed to a diagnosis of ureteropelvic junction stenosis. During surgery, a type two retrocaval ureter was discovered. Transposition pyelo-pyelostomy was performed to repair the ureter, and a double-J stent was inserted.
CONCLUSION
This case highlights the challenge of accurately diagnosing retrocaval ureter, especially type, based on initial radiological images.
病例
一名22岁男性吸烟者，间歇性右侧腰痛持续一年多。他有左肾萎缩和痛风病史。体格检查发现右侧肾角轻度压痛。
结果
初步影像学检查提示输尿管肾盂连接处狭窄的诊断。手术中发现了二型腔后输尿管。进行了肾盂-肾盂吻合术修复输尿管，并插入了双J支架。
结论
该病例凸显了基于初始放射影像准确诊断腔后输尿管，尤其是其类型的挑战。
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