Nagahama K, Yamada T, Nagamatsu H, Masuda H, Negishi T
Department of Urology, Kasukabe Municpal Hospital.
Hinyokika Kiyo. 1993 Jan;39(1):57-60.
A 7-year-old boy was admitted for recurrent pyelonephritis. Intravenous pyelography IVP showed right hydronephrosis and normal left kidney and ureter. Cystourethroscopy revealed no ureteral orifices in the bladder but bilateral ureteral openings adjacent to the seminal colliculus. Right retrograde pyelography showed severe hydroureter and hydronephrosis. The diagnosis was bilateral ectopic ureteral opening into proximal urethra. His abnormality of ureteral opening was classified as type II in Thom's classification. Bilateral ureterocystoneostomy was performed. Only 3 cases of bilateral ectopic ureter in males have been reported in the Japanese literature.
一名7岁男孩因复发性肾盂肾炎入院。静脉肾盂造影(IVP)显示右肾积水,左肾和输尿管正常。膀胱尿道镜检查显示膀胱内无输尿管口,但双侧输尿管开口于精阜附近。右侧逆行肾盂造影显示严重的输尿管积水和肾积水。诊断为双侧输尿管异位开口于尿道近端。其输尿管开口异常在 Thom 分类中被归类为 II 型。进行了双侧输尿管膀胱吻合术。日本文献中仅报道了3例男性双侧异位输尿管病例。