Brock W A, Nachtscheim D A, Kaplan G W, Talner L B
Urol Radiol. 1979;1(2):67-75. doi: 10.1007/BF02926604.
Four patients with giant hydroureteronephrosis are reported to emphasize the massive proportions attained by a dilated ureter. Ureteral obstruction was congenital in each case; duplication with ectopic insertion was present in three of the four patients. In three patients the massively dilated ureter caused partial obstruction of the contralateral ureter. If ultrasound and/or computed tomography demonstrate a huge, septate, cystic structure crossing the midline, massive megaureter should be suspected. Antegrade puncture can be used to confirm the diagnosis.
本文报告了4例巨大型肾盂积水患者，以强调扩张输尿管所达到的巨大程度。每例患者的输尿管梗阻均为先天性；4例患者中有3例存在重复肾伴异位开口。3例患者中，极度扩张的输尿管导致对侧输尿管部分梗阻。如果超声和/或计算机断层扫描显示有一个巨大的、有分隔的囊性结构跨越中线，则应怀疑为巨大型输尿管。顺行穿刺可用于确诊。
