Suzuki K, Kisaki N, Takahashi T
Department of Urology, Ishinomaki Red Cross Hospital.
Hinyokika Kiyo. 1995 May;41(5):379-81.
A 62-year-old male with left ureteritis cystica was reported. Extracorporeal shock wave lithotripsy (ESWL) was performed for his left renal stone 14 and 17 months earlier. However, small fragments remained in the lower calyx and pyuria, microhematuria and bacteriuria continued. Drip infusion pyelography (DIP) showed a small filling defect of the left dilated ureter. Retrograde pyelography revealed multiple, small filling defects of the left middle through the lower ureter. Multiple small submucosal cysts were observed mostly in the pelvic ureter by ureteroscopic examination. Ureteroscopic cold punch biopsy proved ureteritis cystica. The ureteral dilatation improved and filling defects disappeared after the treatment with antibiotics.
报告了一名62岁患有左输尿管囊肿的男性。14个月和17个月前对其左肾结石进行了体外冲击波碎石术(ESWL)。然而,下肾盏仍残留小结石碎片,且脓尿、镜下血尿和菌尿持续存在。静脉滴注肾盂造影(DIP)显示左输尿管扩张有小的充盈缺损。逆行肾盂造影显示左输尿管中下段有多个小的充盈缺损。输尿管镜检查发现多个小的黏膜下囊肿,主要位于盆腔段输尿管。输尿管镜冷活检证实为输尿管囊肿。抗生素治疗后输尿管扩张改善,充盈缺损消失。