PDF(Pubmed)
Abstract：
The association between a duplex renal collecting system and ectopic ureter insertion is well-established. Although congenital genitourinary abnormalities are usually detected during childhood, incidentally, or due to underlying symptoms or medical complications, a few cases might not be diagnosed/treated until adulthood. Herein, we present a case of a 43-year-old lady who came to the emergency department with acute left flank pain associated with a burning sensation during micturition for four days. Imaging showed a duplex collecting system, and findings suggestive of obstructive uropathy. The patient underwent an initial trial of left ureteroscopy that was unsuccessful. Therefore, the interventional radiology (IR) department was consulted to perform left percutaneous nephrostomy insertion with antegrade ureteric stenting, where the patient was noted to have ectopic ureter insertion into the anterior wall of the vagina by antegrade ureterogram. The patient underwent ureter re-implantation to save the kidney from further insult.
摘要：
双重肾脏收集系统与异位输尿管插入之间的关联已得到证实。尽管先天性泌尿生殖系统异常通常在儿童时期发现，顺便说一句,或由于潜在的症状或医疗并发症，一些病例可能直到成年期才被诊断/治疗。在这里，我们介绍了一名43岁的女士，她来到急诊科，在排尿过程中出现了急性左侧腹疼痛，并伴有灼烧感，持续了四天。成像显示双重收集系统，和提示梗阻性尿路病变的发现。患者接受了左输尿管镜检查的初步试验，但未成功。因此,咨询了介入放射科（IR）进行了左经皮肾造口术和顺行输尿管支架置入术，通过顺行输尿管造影发现患者异位输尿管插入阴道前壁。患者接受了输尿管重新植入，以避免肾脏进一步受到伤害。
