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一名60岁患者出现输尿管重复畸形并伴有异位输尿管。

Ureteral duplication with an ectopic ureter in a 60-year-old patient.

作者信息

Cherkaoui Jaouad Mohamed Reda, Hafiani Hamza, Rabii Redouane, Mahi Mohamed, Rami Amal

机构信息

Cheikh Khalifa International University Hospital, Mohammed VI University of Health and Sciences, Casablanca, Morocco.

出版信息

Radiol Case Rep. 2025 May 22;20(8):3960-3963. doi: 10.1016/j.radcr.2025.04.109. eCollection 2025 Aug.

DOI:10.1016/j.radcr.2025.04.109
PMID:40496083
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12149957/
Abstract

Ureteral duplication is a congenital abnormality described as two ureters in the isolateral urinary system. Ectopic ureter is an ureter with abnormal positioning which frequently has an orifice outside the bladder triangle in duplicated ureteral malformations. Clinical problems of this association are the result of vesicoureteral reflux and obstruction, giving rise to infection, incontinence and hydronephrosis. We report a rare case of unilateral duplicated ectopic ureter with vaginal insertion in a 60-year-old woman presenting with recurrent urinary tract infection. Duplicated system with ectopic ureter is a rare entity. Before undergoing surgical management, a good imaging study is required to determine the type of urethral duplication and to provide a good anatomical image.

摘要

输尿管重复是一种先天性异常,表现为同侧泌尿系统中有两条输尿管。异位输尿管是指位置异常的输尿管,在重复输尿管畸形中,其开口常常位于膀胱三角区之外。这种联合情况的临床问题是膀胱输尿管反流和梗阻的结果,可导致感染、尿失禁和肾积水。我们报告一例罕见的60岁女性单侧重复异位输尿管伴阴道开口病例,该患者表现为复发性尿路感染。伴有异位输尿管的重复系统是一种罕见的情况。在进行手术治疗之前,需要进行良好的影像学检查,以确定输尿管重复的类型并提供良好的解剖图像。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed6d/12149957/a5255a40fbc2/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed6d/12149957/14637bdaf4b0/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed6d/12149957/2ecd974bd54e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed6d/12149957/a5255a40fbc2/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed6d/12149957/14637bdaf4b0/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed6d/12149957/2ecd974bd54e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed6d/12149957/a5255a40fbc2/gr3.jpg

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1
Ureteral duplication with an ectopic ureter in a 60-year-old patient.一名60岁患者出现输尿管重复畸形并伴有异位输尿管。
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本文引用的文献

1
Inverted Y ureteral duplication with an ectopic ureter and multiple urinary calculi: A case report.倒Y形输尿管重复畸形合并异位输尿管及多发尿路结石:一例报告
World J Clin Cases. 2022 Feb 6;10(4):1326-1332. doi: 10.12998/wjcc.v10.i4.1326.
2
A Rare Case of Double-System With Ectopic Ureteral Openings Into Vagina.一例罕见的双系统且异位输尿管开口于阴道的病例。
Front Pediatr. 2018 Jun 19;6:176. doi: 10.3389/fped.2018.00176. eCollection 2018.
3
Multi-modality imaging review of congenital abnormalities of kidney and upper urinary tract.
肾脏及上尿路先天性异常的多模态成像综述
World J Radiol. 2016 Feb 28;8(2):132-41. doi: 10.4329/wjr.v8.i2.132.
4
Adult duplex kidneys: an important differential diagnosis in patients with abdominal cysts.成人重复肾:腹部囊肿患者的重要鉴别诊断
JRSM Short Rep. 2013 Feb;4(2):13. doi: 10.1177/2042533312472126. Epub 2013 Feb 12.
5
Duplex collecting system diagnosed during the first 6 years of life after a first urinary tract infection: a study of 63 children.首次尿路感染后6年内诊断出的重复集合系统:63例儿童的研究
J Urol. 2006 Feb;175(2):678-81; discussion 681-2. doi: 10.1016/S0022-5347(05)00184-9.