A Ureteral Diverticulum Mimicking Pelvic Cyst

輸尿管憩室以骨盆腔囊腫表現

謝登富(Deng-Fu Hsieh) ； 吳錫金(Hsi-Chin Wu)

《臺灣泌尿科醫學會雜誌》 13卷4期 (2002/12) Pp. 157-160

摘要

輸尿管憩室是一種輸尿管壁的向外膨出。這是一種少見的臨床表現。而他的發生原因仍不清楚。我們報告一罕見病例，一位29歲女性因反覆的泌尿道感染就醫，在超音波及電腦斷層檢查中發現了骨盆腔囊腫。經過順行性腎盂攝影的檢查顯示此為一左側輸尿管憩室。在手術中發現這個輸尿管憩室和左側輸尿管有交通但卻和膀胱完全無相通。由於這個輸尿管憩室有完整的肌肉層存在，因盤屬於一真性輸連管憩室。就我們所知，之前並無這類成人的病例報告。

關鍵字

輸尿管憩室 ； 骨盆腔囊腫 ； 泌尿道感染

並列摘要

A ureteral diverticulum which appears as an outpunch from the ureter wall is a rare clinical finding with unclear etiology. We report on a 29- year-old woman whose first presentation was a recurrent urinary tract infection. A left pelvic cyst was disclosed by abdominal ultrasonography and computed tomography scanning. A diverticulum of the left distal ureter was the final diagnosis following a series studies. Surgical intervention revealed that the left ureter was draining into the diverticulum but that there was no communication between the diverticulum and the urinary bladder. Because of the presence of a muscular layer, the pathologist confirmed it to be a true diverticulum. To the best of our knowledge, no such case of a ureteral diverticulum in adults has been reported.

並列關鍵字

ureteral diverticulum ； pelvic cyst ； urinary tract infection