异位肾脏是一种罕见的先天性缺陷,通常无症状,但可以在影像学检查中偶然发现。此外,异位肾脏的形态学特征和实验室特征是非特异性的,这可能会导致误导性的诊断方法,特别是当有其他因素时,如感染,阻塞,或其他异常。一名43岁的女性在左附件区域出现肿块。她有纵隔子宫和先天性尿失禁的病史。超声和MRI显示肿块为起源于卵巢的囊肿。然而,肿块可能来自泌尿系统。为了确认诊断,进行了腹腔镜检查,然后进行病理检查,这证实了单系统异位输尿管异位肾的存在。患者接受了肾输尿管切除术,她的症状成功缓解了,导致良好的预后。此病例报告重点介绍了一例罕见病例,涉及异位肾脏和阴道异位输尿管,最初表现为附件囊肿并引起尿流。该病例强调了对症状相似的女性进行早期识别和准确诊断的重要性。
An ectopic kidney is a rare congenital defect that is often asymptomatic, but can be incidentally discovered during imaging examinations. Moreover, the morphological characteristics and laboratory features of ectopic kidneys are nonspecific, which may lead to misleading diagnostic approaches, particularly when there are additional factors, such as infection, obstruction, or other anomalies. A 43-year-old female presented with a mass in the left adnexal area. She had septate uterus and a history of congenital urinary incontinence. Ultrasound and MRI findings indicated that the mass was a cyst originating from the ovary. However, it is possible that the lump was derived from the urinary system. To confirm the diagnosis, laparoscopy was performed, followed by pathological examination, which confirmed the presence of an ectopic kidney with a single-system ectopic ureter. The patient underwent nephroureterectomy, and her symptoms successfully resolved, leading to a favorable prognosis. This
case report highlights a rare
case involving an ectopic kidney with a vaginal ectopic ureter that initially presented as an adnexal cyst and caused urinary dribbling. This
case emphasizes the importance of early recognition and accurate diagnosis in women with similar symptoms.