膀胱內尿管疝伴隨尿路結石：個案報告

Intravesical Ureterocele Present Ureteric Calculus: A Case Report

陳俊宏(Chun-Hung Chen) ； 李昭德(Chao-Te Lee) ； 廖為博(Wei-Ber Liao)

《Journal of Emergency Medicine, Taiwan》 7卷3期 (2005/09) Pp. 177-182

摘要

一位22歲男性，因突發左側腹痛及腰痛，並伴隨發冷等症狀，至急診室求治。初步臆斷有尿路結石，經尿液分析後，發現患者尿液有顯微性血尿，追朔其過去病史，顯示患者過去常有泌尿道感染之情形，故進一步懷疑患者可能有泌尿道異常，所以於急診室安排影像檢查，其靜脈腎盂攝影檢查，發現有左側腎水腫，左側輸尿管結石及膀胱內尿管疝（尿管囊腫），膀胱內尿管疝呈現典型響尾蛇頭樣之影像。根據文獻報告，尿管疝與小兒或年輕人尿路結石，反覆泌尿道感染及可能腎病變有重要關聯。

關鍵字

尿管疝尿管囊腫 ； 腎水腫 ； 尿路結石 ； 泌尿道感染 ； 腎病變

並列摘要

A 22 year old man presented to our emergency department with a history of pain in his left abdomen and left loin. He had chillness, but no fever. On examination he had left loin knocking pain. Urolithiasis was impressed then. His urine analysis was positive for blood. Tracing his past history, he often suffered from urinary tract infection. The urinary tract abnormality was highly suspected. Intravenous urogram was arranged in the emergency room. On the urogram films left hydronephrosis, left ureteric calculus, and intravesical ureterocele were seen. A typical cobra head appearance characteristic of a ureterocele was demonstrated. Clinical presentation of a ureterocele varies considerably. Patients commonly present with recurrent urinary tract infection, ureteric calculus and nephropathy..

並列關鍵字

ureterocele ； hydronephrosis ； urolithiasis ； urinary tract infection ； nephropathy