输尿管盲肠吻合处的腺瘤性息肉。
Adenomatous polyp at the ureterocaecal anastomosis.
作者信息
Coen L D, Raftery A T
机构信息
Sheffield Kidney Institute, Northern General Hospital, Sheffield, UK.
出版信息
Postgrad Med J. 1994 Jul;70(825):518-9. doi: 10.1136/pgmj.70.825.518.
A case of adenomatous polyp occurring at a ureterocaecal anastomosis, 25 years after urinary diversion following a total cystectomy for carcinoma of the bladder, is reported. Bilateral nephrectomy for chronic pyelonephritis was carried out 25 years after the initial surgery and, following this, a sinus formed at the incision at the right loin. A sinogram showed contrast filling the right ureter and caecum, and outlined a lobulated filling defect at the ureterocaecal anastomosis. Subsequent histology revealed a dysplastic tubulovillous adenoma. The clinical presentation and management of tumours at the ureterointestinal junction are discussed.
本文报告1例膀胱全切尿流改道术后25年，输尿管盲肠吻合处发生腺瘤性息肉的病例。初次手术后25年，因慢性肾盂肾炎行双侧肾切除术，此后右腰部切口处形成一个窦道。窦道造影显示造影剂充盈右输尿管和盲肠，并勾勒出输尿管盲肠吻合处一个分叶状充盈缺损。随后的组织学检查显示为发育异常的管状绒毛状腺瘤。本文还讨论了输尿管肠交界处肿瘤的临床表现及处理。
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