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右侧完全重复肾伴上半部分肾盂积水由输尿管结石所致:一例罕见病例。

Complete Duplex Right Kidney With Upper Moiety Hydronephrosis due to Ureteral Stone: A Rare Case.

作者信息

Mahesvara I B G A, Suarsana I W, Putra I B O W

机构信息

Department of Urology, Wangaya General Hospital, Denpasar, Bali, Indonesia.

出版信息

Case Rep Med. 2025 Sep 2;2025:3800537. doi: 10.1155/carm/3800537. eCollection 2025.

DOI:10.1155/carm/3800537
PMID:40933209
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12419908/
Abstract

Duplex kidneys, though relatively uncommon (occurring in 1%-4% of the cases), can pose significant clinical challenges when associated with urinary tract symptoms. Complications requiring intervention include stone formation, urinary obstruction, and reflux disease. We present the case of a 22-year-old male with complete duplex right kidney with upper moiety hydronephrosis due to a distal ureteral stone, diagnosed by ultrasonography and confirmed with intraoperative retrograde pyelography (RPG). Definitive management was achieved via ureteroscopy (URS) lithotripsy.

摘要

重复肾虽然相对不常见(发生率为1%-4%),但当与尿路症状相关时,可能会带来重大的临床挑战。需要干预的并发症包括结石形成、尿路梗阻和反流性疾病。我们报告一例22岁男性患者,其右侧完全性重复肾伴上半肾积水,原因是远端输尿管结石,通过超声检查诊断,并经术中逆行肾盂造影(RPG)证实。通过输尿管镜碎石术(URS)实现了确定性治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d35/12419908/39834434ceeb/CRIM2025-3800537.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d35/12419908/4123565941dc/CRIM2025-3800537.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d35/12419908/db407c652825/CRIM2025-3800537.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d35/12419908/39834434ceeb/CRIM2025-3800537.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d35/12419908/4123565941dc/CRIM2025-3800537.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d35/12419908/db407c652825/CRIM2025-3800537.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d35/12419908/39834434ceeb/CRIM2025-3800537.003.jpg

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本文引用的文献

1
Duplicated collecting system.重复肾收集系统。
Am J Obstet Gynecol. 2021 Nov;225(5):B12-B13. doi: 10.1016/j.ajog.2021.06.040. Epub 2021 Sep 8.
2
Duplex kidney formation: developmental mechanisms and genetic predisposition.重复肾的形成:发育机制与遗传易感性
F1000Res. 2020 Jan 6;9. doi: 10.12688/f1000research.19826.1. eCollection 2020.
3
Bilateral duplex collecting system with bilateral vesicoureteral reflux: a case report.双侧重复集合系统伴双侧膀胱输尿管反流:一例报告
J Med Case Rep. 2019 May 4;13(1):128. doi: 10.1186/s13256-019-2058-z.
4
Rare cases of ectopic ureter: Analysis from a single centre with review of the literature.罕见异位输尿管病例:来自单一中心的分析及文献综述
Turk J Urol. 2019 Dec;45(Supp. 1):S92-S97. doi: 10.5152/tud.2018.37085. Epub 2018 Nov 21.
5
Duplex collecting system in a pelvic kidney - an unusual combination.盆腔肾中的重复集合系统——一种不寻常的组合。
J Radiol Case Rep. 2017 Dec 31;11(12):8-15. doi: 10.3941/jrcr.v11i12.2991. eCollection 2017 Dec.