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A Patient with an Ectopic Ureteral Opening Diagnosed on the Basis of Pus Discharge from the Perineal Region

机译:根据会阴部脓液诊断为异位输尿管开口的患者

摘要

The patient was a 53-year-old woman with chief complaints of repeated pyrexia and pus discharge from the perineal region. A macroscopic examination revealed the presence of a fistula in the anterior wall of the vagina ; magnetic resonance imaging, retrograde urography through the fistula, and excretory urography indicated that the fistula was a complete left ureteral duplication with an opening on the anterior wall of the vagina. Laparoscopic ureterectomy of the left ectopic ureter was performed to achieve a complete cure. The ectopic ureteral opening led to a blind canal in the superior pole of the kidney. No postoperative complications were observed, and the symptoms disappeared. This is a rare case in which the patient, who did not have any symptoms until she became an adult, was diagnosed as having left ureteral duplication with the opening on the anterior wall of the vagina when pus was drained from the perineal region.
机译:该患者是一名53岁的女性,主要主诉反复发热和会阴部脓液排出。肉眼观察发现阴道前壁有瘘管;磁共振成像,通过瘘管的逆行尿路造影和排泄性尿路造影表明,瘘管是一个完整的左输尿管重复,在阴道前壁上有一个开口。进行腹腔镜输尿管切除左异位输尿管以完全治愈。异位输尿管开口导致肾脏上极的盲管。没有观察到术后并发症,并且症状消失了。这是一种罕见的情况,其中直到成年后才出现任何症状的患者被诊断为在从会阴部引流脓液时,左前输尿管重复且阴道前壁开口。

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