Shenoy S, Hovsepian D, Brennan D C, Hudson M A, Howard T K, Flye M W
Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Clin Transplant. 1995 Apr;9(2):125-8.
We report a renal transplantation with uretero-ureterostomy to a normal ureter in a patient with VATER syndrome who had agenesis of the ipsilateral kidney. Anomalous insertion of the native ureter into the ejeculatory duct was subsequently identified when his post-operative course was complicated by an ureteric leak and hydronephrosis. To our knowledge, this anomaly has not been previously reported. Transplant function is now excellent following temporary percutaneous nephrostomy. Contrast delineation of genito-urinary anatomy is recommended, before utilizing existing anatomical structures in the urinary tract, in patients with VATER syndrome.
我们报告了一例在患有VATER综合征且同侧肾缺如的患者中进行的肾移植手术，将输尿管与正常输尿管进行输尿管-输尿管吻合术。术后该患者出现输尿管漏和肾积水并发症，随后发现其天然输尿管异常插入射精管。据我们所知，此前尚未有过这种异常情况的报道。经过临时经皮肾造瘘术后，目前移植肾功能良好。对于患有VATER综合征的患者，在利用尿路现有的解剖结构之前，建议进行泌尿生殖系统解剖结构的造影描绘。
