与无症状的左侧前动脉脏静脉相关的右侧后尿管:一个病例报告
Saida Hidouri1, Sabrine Ben Ammar1, Yosra El Mansouri2
1Research Laboratory LR12SP13, Faculty of Medicine of Monastir, Tunisia; Department of Paediatric Surgery, Hospital of Zaghouan, Tunisia.
International journal of surgery case reports
|March 16, 2025
概括
逆腔尿管是一种罕见的先天性异常,可以导致尿路阻塞,并且经常与其他血管异常一起发现,如左侧门脏静脉. 手术纠正可以缓解症状,防止脏受损.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 儿科手术 儿科手术
- 血管外科 血管外科
背景情况:
- 逆腔尿管是一种罕见的先天性异常,尿管通过下腔静脉 (IVC) 后面,可能导致阻塞.
- 左侧尾脏静脉是另一种血管异常,通常无症状.
- 这些异常会导致诸如水,尿道阻塞和反复感染等并发症.
研究的目的:
- 介绍一个儿科患者的病例,同时出现了尾尿管和左尾脏静脉.
- 为了突出诊断和手术治疗症状的逆洞性尿道.
- 强调在儿科尿路阻塞中考虑先天性血管异常的重要性.
主要方法:
- 一个9岁的男孩有间歇性疼痛和出血症,接受了成像研究 (超声波,尿道扫描).
- 诊断包括右侧水,尿路变形,以及偶发的左侧尾脏静脉.
- 手术纠正涉及向后的部分的开放切除和尿道-尿道静脉缩在双J支架上.
主要成果:
- 这位患者出现了右侧水,石和S形右尿管.
- 鉴定出一个同时存在的左侧尾脏静脉.
- 手术后的恢复没有任何事件,随着后续成像证实了水溶解.
结论:
- 在儿科尿路压缩综合征中需要考虑IVC和静脉的先天性异常.
- 先进的成像技术有助于对这些罕见疾病进行准确的诊断.
- 及时的手术干预可以有效地管理症状病例,并预防长期损伤.
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