Miura T, Sugawara T, Fukushima S
Hinyokika Kiyo. 1985 May;31(5):833-7.
A case of two ectopic ureteral openings into the bladder neck and the vagina is reported. A 6-year-old-girl was admitted with gross hematuria and incontinence. The left kidney could not be visualized by excretory pyelography. Voiding cystogram revealed left vesicoureteral reflux. Left ureteral orifice could not be confirmed by cystoscopic examination. In January 1982, left nephroureterectomy was carried out. Contrast material injected into the left ureter during the operation was found to be drained into the bladder and the vagina. Thus, left ureter was resected close to the end of the ureter to avoid injury of the urethra and its sphincter. After the operation, incontinence disappeared. This case is the second case of two ectopic openings of unduplicated ureter.
报告了一例双侧异位输尿管开口于膀胱颈和阴道的病例。一名6岁女孩因肉眼血尿和尿失禁入院。排泄性肾盂造影未能显示左肾。排尿性膀胱造影显示左侧膀胱输尿管反流。膀胱镜检查未发现左侧输尿管口。1982年1月，实施了左侧肾输尿管切除术。术中向左侧输尿管注入造影剂后，发现造影剂流入膀胱和阴道。因此，在输尿管末端附近切除左侧输尿管，以避免损伤尿道及其括约肌。术后尿失禁消失。该病例是双侧单一输尿管异位开口的第二例。
