- 期刊
Persistent Congenital Ureteral Infoldings: A Case Report
先天性輸尿管摺疊：一病例報告
摘要
本篇病例報告是關於三歲男病童罹患右側腎盂輸尿管交接處狹窄合併左側輸尿管摺疊，且有雙側嚴重水腎的病例。病童由於急性上呼吸道感染，發燒，合併腸胃不適，住進本院接受治療，入院期間接腹部超音波掃描後，後現罹患有雙側嚴重水腎。經靜脈腎盂路攝影，排尿膀胱尿道攝影，以及核子醫學掃描檢查後，診斷為兩側腎盂輸尿管交接處狹窄，由經皮腎盂造瘻術作腎盂尿路攝影檢查後，證實有左側輸尿管摺疊。我們分別做了兩側腎盂整形手術治療後，病況隱定，水腎情形改善，日前仍於本院門診追蹤治療中。在新生兒期若發現輸尿管摺疊合併水腎，雖然可以經由手術治療，但術前密切觀察應屬必要，因為有此病童有機會可以自行復元。(慈濟醫學 1994; 6: 291-295)
並列摘要
A three-year-old boy suffered from bilateral hydronephrosis, and received dismembered pyeloplasty for ureteropelvic junction obstruction on the right side and the persistent ureteral infoldings on the left upper ureter. He was suffering from dry cough, fever, and occasional abdominal cramping pain. After a serial studies including ultrasound examination of abdomen, intravenous urography (IVU), voiding cystourethogram (VCUG), diethylenetriaminepetaacetic acid (DTPA) diuretic isotope renography, and antegrade pyelography, the ureteropelvic junction obstruction on the right side and the persistent ureteral infoldings on the left upper ureter was diagnosed, Regular followed-up examinations revealed the patient was in good condition after operation. Bi lateral hydronephrosis improved up to date. This kind of ureteral lesions might have disappeared progressively and spontaneously. This suggests a period of conservative observation is warranted in similar situations. (Tzu-Chi Med J 1994; 6: 291-295)