両側多発性尿管憩室の1例

概要

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73歳男.主訴は無症候性肉眼的血尿.両腎とも水腎症を認めず膀胱内に明らかな腫瘤性病変を認めなかった.DIP及び逆行性腎盂造影で,両側中部尿管に,径2～5mmの造影剤貯留を複数伴う数珠状変化を認めた.膀胱尿道鏡では明らかな下部尿路閉塞所見を認めなかった.以上の所見より,両側発生した多発性尿管憩室と診断した.現在,血尿,尿路感染などを認めず外来経過観察中であるThe patient was a 73-year-old man who was referred to our hospital for examination of asymptomatic gross hematuria. Urine cytology was negative. Drip infusion pyelography and retrograde pyelography revealed bilateral multiple out-patchings of both ureters. Multiple ureteral diverticula is generally considered to be rare. There have been 20 reported cases in the Japanese literature. We present the 21st case of multiple ureteral diverticula.