Merimsky E
J Urol (Paris). 1980;86(4):257-9.
A bifid ureter with a blind-ending branch is rare. There is only six published cases in which was the exact diagnosis established on the basis of excretory urography alone. In all other cases the diagnosis was established by retrograde pyelography, at an operation or at autopsy. Asymptomatic cases may go undetected. Symptoms, if present, may be non-specific (vomiting, fever, pain, dysuria, hematuria) arising from stasis within the blind lumen. Almost all reported cases arose from the distal third of the ureter. In our present case, a woman aged 56, reflux of the contrast material injected intravenously outlined the entire course of the blind-ending branch. This blind-ending branch was resected resulting in the cure of the patient.
双叉输尿管伴盲端分支极为罕见。仅有6例已发表的病例是仅通过排泄性尿路造影确诊的。在所有其他病例中，诊断是通过逆行肾盂造影、手术或尸检确定的。无症状病例可能未被发现。如果有症状，可能是非特异性的（呕吐、发热、疼痛、排尿困难、血尿），由盲腔内的淤滞引起。几乎所有报告的病例都发生在输尿管的远端三分之一处。在我们目前的病例中，一名56岁的女性，静脉注射的造影剂反流勾勒出了盲端分支的整个行程。切除该盲端分支后患者治愈。
