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[盲端输尿管终止于射精管。1例报告]

[Blind ureter ending in ejaculatory duct. Report of a case].

作者信息

Castellanos González L, Capdevila Hernández J M, Lanzas Prieto J M, Senén González Tuero J, González Naranjo F

机构信息

Servicio de Urología, Hospital San Agustín, Avilés, Asturias, España.

出版信息

Arch Esp Urol. 1996 Oct;49(8):864-7.

PMID:9065286
Abstract

OBJECTIVES

Herein we describe a case of an extremely uncommon malformation of the genitourinary system in a patient who had consulted for epididymitis.

METHODS

Patient evaluation included radiological examination, IVP, US, CT and DVG The latter method was essential in the diagnosis of the malformation.

RESULTS

The findings indicated left renal agenesis with blind left ureter opening to the ipsilateral ejaculatory duct, with severe deformity of the left seminal vesicle and ejaculatory duct.

CONCLUSIONS

Since the patient has no important symptoms at the present time, contrary to the widely accepted approach, surgery has not been performed due to the risk of causing an iatrogenic lesion.

摘要

目的

在此我们描述一例因附睾炎前来就诊的患者,其患有极为罕见的泌尿生殖系统畸形。

方法

患者评估包括放射学检查、静脉肾盂造影(IVP)、超声(US)、计算机断层扫描(CT)和排尿性膀胱尿道造影(DVG)。后一种方法对畸形的诊断至关重要。

结果

检查结果显示左肾缺如,左输尿管盲端开口于同侧射精管,左精囊和射精管严重畸形。

结论

由于该患者目前没有重要症状,与广泛接受的方法相反,因存在造成医源性损伤的风险,未进行手术。

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1
[Blind ureter ending in ejaculatory duct. Report of a case].[盲端输尿管终止于射精管。1例报告]
Arch Esp Urol. 1996 Oct;49(8):864-7.
2
Rare case of ectopic duplicated megaureter with dysplastic upper kidney moiety opening into ipsilateral ejaculatory duct.罕见病例:异位重复巨输尿管合并发育不良的上半肾部分开口于同侧射精管。
Urology. 2006 Sep;68(3):672.e1-3. doi: 10.1016/j.urology.2006.03.026. Epub 2006 Sep 18.
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Renal aplastic dysplasia and ipsilateral ectopic ureter obstructing the seminal via: a possible cause of male infertility.肾发育不全性发育异常与同侧异位输尿管阻塞输精管道:男性不育的一个可能原因。
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[Ectopic opening of the ureter into the ejaculatory duct. Use of ultrasound-directed vesiculography in the diagnosis of this type of malformation].[输尿管异位开口于射精管。超声引导下精囊造影术在诊断此类畸形中的应用]
Arch Esp Urol. 1989 Nov-Dec;42(9):925-7.
6
[Malformations of Wolffian duct derived male genital organs (epididymis, vas deferens, seminal vesicules, ejaculatory ducts)].中肾管衍生男性生殖器官(附睾、输精管、精囊、射精管)的畸形
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[Ectopic opening of the ureter into the ejaculatory duct; renal and seminal vesicle dysplasia].[输尿管异位开口于射精管;肾及精囊发育异常]
Actas Urol Esp. 1979 Sep-Oct;3(5):291-4.
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[A case report of an ectopic ureter in a patient treated for chronic prostatitis].
Nihon Hinyokika Gakkai Zasshi. 1993 Jul;84(7):1316-9. doi: 10.5980/jpnjurol1989.84.1316.