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一名成年男性膀胱重复畸形合并泌尿生殖系统及脊柱畸形:复杂泌尿生殖系统病例的多模态影像学及手术证实

Urinary bladder duplication in an adult male with associated genitourinary and spinal malformations: Multimodal imaging and surgical confirmation in a complex urogenital case.

作者信息

Prakash Priyanka R, Rathan Vipul K, Rai Santosh Phajir Vishwanath

机构信息

Department of Radiodiagnosis, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, India.

出版信息

Radiol Case Rep. 2025 Oct 24;21(1):290-296. doi: 10.1016/j.radcr.2025.09.077. eCollection 2026 Jan.

DOI:10.1016/j.radcr.2025.09.077
PMID:41209092
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12593651/
Abstract

Bladder duplication is a rare congenital anomaly, seldom reported in adults. We describe a young male presenting with recurrent urinary symptoms and lower abdominal pain. Imaging (ultrasound, CT urogram, MRI) revealed a complete sagittal septum dividing the bladder into 2 cavities with cystolithiasis, along with a hypoplastic left kidney, vesicoureteral junction (VUJ) diverticulum, partial sacral hypoplasia, and hypoplastic prostate and seminal vesicles. The patient underwent septum resection and stone removal, leading to symptom resolution. This case underscores the importance of considering congenital anomalies in adult urological presentations and highlights the role of comprehensive imaging in diagnosis and management.

摘要

膀胱重复畸形是一种罕见的先天性异常,在成人中鲜有报道。我们描述了一名年轻男性,他反复出现泌尿系统症状和下腹部疼痛。影像学检查(超声、CT尿路造影、MRI)显示,一个完整的矢状隔将膀胱分为两个腔,并伴有膀胱结石,同时还有左肾发育不全、膀胱输尿管连接部(VUJ)憩室、部分骶骨发育不全以及前列腺和精囊发育不全。患者接受了隔切除术和结石清除术,症状得以缓解。该病例强调了在成人泌尿外科疾病表现中考虑先天性异常的重要性,并突出了综合影像学在诊断和治疗中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d37/12593651/1bfc90b429d6/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d37/12593651/f8fb7552b89c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d37/12593651/bc3724b7c33f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d37/12593651/7a669cc696c9/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d37/12593651/ecb976e9bd23/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d37/12593651/428d387a2959/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d37/12593651/e6e285834615/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d37/12593651/896ba870c482/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d37/12593651/1bfc90b429d6/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d37/12593651/f8fb7552b89c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d37/12593651/bc3724b7c33f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d37/12593651/7a669cc696c9/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d37/12593651/ecb976e9bd23/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d37/12593651/428d387a2959/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d37/12593651/e6e285834615/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d37/12593651/896ba870c482/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d37/12593651/1bfc90b429d6/gr8.jpg

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本文引用的文献

1
Bladder duplication in a patient with a persistent urogenital sinus: Case report and systematic review of the literature.一名患有持续性泌尿生殖窦患者的膀胱重复畸形:病例报告及文献系统综述
Urol Case Rep. 2024 Apr 10;54:102736. doi: 10.1016/j.eucr.2024.102736. eCollection 2024 May.
2
Sagittal septum duplication of bladder and duplication of posterior urethra combined with congenital megacolon: a case report and literature review.膀胱矢状隔重复和后尿道重复合并先天性巨结肠:一例病例报告及文献复习。
BMC Urol. 2024 Jan 3;24(1):9. doi: 10.1186/s12894-023-01395-3.
3
Disorder of sexual development, urinary bladder duplication, pancake kidney and neural tube defect.
性发育障碍、膀胱重复、盘状肾和神经管缺陷。
Radiol Case Rep. 2023 Apr 29;18(7):2354-2358. doi: 10.1016/j.radcr.2023.03.049. eCollection 2023 Jul.
4
Bladder Duplication - A Case Series.膀胱重复畸形 - 病例系列
Urology. 2021 Mar;149:199-205. doi: 10.1016/j.urology.2020.11.001. Epub 2020 Nov 13.
5
Complete duplication of the urinary bladder: An extremely rare congenital anomaly.膀胱完全重复:一种极其罕见的先天性异常。
Urol Ann. 2015 Jan-Mar;7(1):91-3. doi: 10.4103/0974-7796.148629.
6
Incomplete bladder duplication with multiple congenital anomalies: A rare presentation.膀胱不完全重复伴多发先天性畸形:一种罕见表现。
Urol Ann. 2015 Jan-Mar;7(1):88-90. doi: 10.4103/0974-7796.148628.