Fariña L A, Caparros Sariol J, Villavicencio Mavrich H
Servicio de Urología, Instituto de Urología, Nefrología y Andrología, Fundación Puigvert, Barcelona, España.
Arch Esp Urol. 1994 Jul-Aug;47(6):581-4.
Any of the diseases of the upper urinary tract (lithiasis, tumor or fistula) can develop in the residual distal ureteral stump after simple or radical nephrectomy. It may take months or years before they manifest since this segment of the ureter is not involved in urinary function and is generally not visible on the IVP or US. These circumstances lead to difficulties and diagnostic errors and considerable delay in instituting appropriate treatment. Two patients with tumor of the residual ureteral stump are described. One had undergone simple nephrectomy for renal tuberculosis 38 years earlier and the other for a urothelial tumor 10 years ago. The delay in diagnosing the cause of these patients' symptoms prompted us to review the literature on the diseases of the ureteral stump, a subject that is little known and represents a challenge to the urologist.
上尿路的任何疾病（结石、肿瘤或瘘管）都可能在单纯性或根治性肾切除术后残留的输尿管远端残端中发生。由于输尿管的这一段不参与尿液功能，并且在静脉肾盂造影（IVP）或超声检查（US）中通常不可见，因此可能需要数月或数年才会出现症状。这些情况导致诊断困难和错误，并在实施适当治疗方面造成相当大的延误。本文描述了两名输尿管残端肿瘤患者。一名患者38年前因肾结核接受了单纯性肾切除术，另一名患者10年前因尿路上皮肿瘤接受了手术。这些患者症状病因诊断的延迟促使我们回顾有关输尿管残端疾病的文献，这是一个鲜为人知且对泌尿外科医生构成挑战的课题。
