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一名11岁埃塞俄比亚男孩患巨大先天性膀胱憩室伴交叉融合型肾异位:病例报告

A large congenital bladder diverticulum with crossed fused renal ectopia in an 11-year-old boy: A case report from Ethiopia.

作者信息

Kelbessa Samuel Kefiyalew, Bikila Berhanu Nigusse, Oljira Amanuel Mesfin

机构信息

Pediatric Surgery Division, Ambo University Referral Hospital, Ambo University, Ambo, Ethiopia.

Department of Surgery, Ambo University Referral Hospital, Ambo University, Ambo, Ethiopia.

出版信息

Urol Case Rep. 2025 May 5;61:103058. doi: 10.1016/j.eucr.2025.103058. eCollection 2025 Jul.

Abstract

Congenital bladder diverticula are rare urological anomalies characterized by herniation of bladder mucosa through muscular fibers of the bladder wall. We report an 11-year-old male from West-Shewa, Ethiopia, presented with obstructive urinary symptoms since early childhood. Abdominal ultrasound revealed a large bladder diverticulum and crossed fused renal ectopia. A voiding cystourethrogram confirmed the diverticulum without vesicoureteral reflux. The patient underwent transvesical diverticulectomy. Subsequent Follow-up showed complete resolution of urinary symptoms, and postoperative ultrasound revealed no upper tract dilatation or residual disease. In conclusion, Congenital bladder diverticula are a rare cause of obstructive urinary symptoms and rarely coexist with renal anomalies.

摘要

先天性膀胱憩室是一种罕见的泌尿系统异常,其特征是膀胱黏膜通过膀胱壁的肌纤维疝出。我们报告一例来自埃塞俄比亚西谢瓦的11岁男性,自幼年起就出现梗阻性排尿症状。腹部超声显示一个大的膀胱憩室和交叉融合肾异位。排尿性膀胱尿道造影证实了憩室且无膀胱输尿管反流。该患者接受了经膀胱憩室切除术。随后的随访显示排尿症状完全缓解,术后超声显示上尿路无扩张或残留病变。总之,先天性膀胱憩室是梗阻性排尿症状的罕见原因,很少与肾脏异常并存。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa8d/12139681/19b06986cf42/gr1.jpg

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