異所性尿管を伴う低形成腎に対し腹腔鏡下腎尿管全摘除術を行った成人女性の1例

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タイトル別名
  • A Case of Hypoplastic Kidney and an Ectopic Ureter Treated by Laparoscopic Nephroureterectomy in an Adult Woman
  • イショセイ ニョウカン オ トモナウ テイケイセイジン ニ タイシ フククウキョウ カジンニョウカン ゼンテキジョジュツ オ オコナッタ セイジン ジョセイ ノ 1レイ

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説明

A 20-year-old woman had urinary incontinence since childhood. She self-managed her symptoms by using incontinence pads and she admitted never having been to a urologist. When she consulted a urologist for cystitis, ultrasonography could not locate the presence of a right kidney. She was suspected of having a contracted kidney and was referred to our hospital for further examinations and treatment. An enhanced computed tomography scan showed a contracted right kidney, which was located on the surface of the inferior vena cava. Magnetic resonance imaging showed that the right ureter extended into the vagina. Cystoscopy showed the absence of a right ureteral orifice, and an ectopic orifice was identified in the vagina. Laparoscopic nephroureterectomy was performed based on the diagnosis of a hypoplastic kidney with an ectopic ureter. We removed the ureter as far as the vagina because a residual ureteral segment could cause infection. Postoperatively, the patient had no complications, and her uterine artery was successfully saved. The patient achieved complete continence after the operation.

収録刊行物

  • 泌尿器科紀要

    泌尿器科紀要 64 (5), 219-223, 2018-05-31

    泌尿器科紀要刊行会

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