反対側に重複尿管を伴い,両側に異所性開口を有する3重尿管の1例

概要

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Although duplication of the collecting system is a rather common anomaly, triplicate anomalies are rare. This paper presents a case of triplication of the ureter with the duplication on the other side and bilateral ectopic openings. A 3-year-old female patient had had continuous enuretic leakage of urine, though she has been continent. Roentgenographic examinations showed triplication on the right side with ectopic opening of the uppermost ureter; In the left, upper calices and pelvis were found extremely dilated and the hydroureter drained down to the vagina. Surgical intervention was necessary. Triplication of the ureter was first reported by Wrany in 1870. Since then 45 cases were reported and among them, 13 cases had the duplication in the other side. These 46 cases are summarized. The development of such anomalies is discussed.
社団法人日本泌尿器科学会の論文