Shoda R, Ejiri S, Fujita T, Wada N
Hinyokika Kiyo. 1985 Mar;31(3):475-81.
Ureteral triplication is a rare congenital anomaly of the urinary tract, although ureteral duplication is rather common. Bilateral ureteral triplications are even rare anomalies. A five-year-old girl with a history of urinary tract infection and episodes of fever and lower abdominal pain was admitted to our hospital for further examination of microscopic hematuria. An excretory urogram (IVP) revealed bilateral 3 pelves and ureters, and cystoscopic examination showed 2 ureteral orifices on each side. Both sides of bilateral ureteral triplications in our case belonged to type B of Smith's classification. Ureteral triplication was first reported by Wraný in 1870. Since then 84 cases have been reported and among them 3 cases had bilateral ureteral triplications. In this article, the classification and the development of ureteral triplication are reviewed briefly.
输尿管三重畸形是一种罕见的泌尿系统先天性异常,而输尿管重复畸形则较为常见。双侧输尿管三重畸形更是罕见的异常情况。一名有尿路感染病史、发热和下腹部疼痛发作史的5岁女孩因镜下血尿入院接受进一步检查。排泄性尿路造影(IVP)显示双侧有3个肾盂和输尿管,膀胱镜检查显示每侧有2个输尿管口。我们病例中的双侧输尿管三重畸形两侧均属于史密斯分类的B型。输尿管三重畸形由弗兰伊于1870年首次报道。自那时以来,已报道了84例病例,其中3例为双侧输尿管三重畸形。本文简要回顾了输尿管三重畸形的分类和发育情况。