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中華民國泌尿科醫學會雜誌

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篇名 Retrocaval Ureter - Three Case Reports and Review of the Literature
卷期 5:1
並列篇名 下腔靜脈後輸尿管三例報告及文獻回顧
作者 歐陽鍾青闕士傑許德金陳淳蔡崇璋丘祖毅
頁次 49-53
關鍵字 下腔靜脈後輸尿管水腎retrocaval uretercircumcaval ureterhydronephrosisTSCI
出刊日期 199403

中文摘要

我們報告三例下腔靜脈後輸尿管:第一例為71歲男性,除了嚴重右側水腫外,亦有長達十多年之右腎結石;第二例37歲男性,因右側腰痛發現右腎水腫併右腎結石;最後一例為15歲男孩,在學校接受腹部超音波檢音時,查出右側腎水腫。其中兩側經愮脈攝影術,逆行性腎盂攝影及電斷層掃描,於術前診斷出下腔靜脈後輸尿管。三例皆接受手術治療,術後情形良好。本文除討論下腔靜脈後輸尿管之診斷、治療方針及其預後外,亦回顧其相關文獻。

英文摘要

Two cases of intra-abdominal testis are presented with each had delayed detection and complications. The first patient was a 22-year-old with a left intra-abdominal testis. Before the operation the testis detected by sonography and computerized tomography was seen adjacent to the bladder. Orchiectomy was performed because of testicular torsion. The second patient was a 35-year-old married man with bilateral intra-abdominal testes and infertility. A movable mass was palpated at the right lower abdomen during physical examination. Bilateral orchiectomy was done. Pathology revealedx a seminoma on the right testis and atrophic change on the left. The associasted complications in these two cases indicate the importance of early detection and treatment of intra-abdominal testis. Three cases of retrocaval ureter are reported: One 71-year-old man had had a long preoperative history of right renal stone. One 37-year-old man had right renal and upper ureteral stone associated with hydronephrosis. A 15-year-old boy was found to have right hydronephrossi on screening abdominal sonography. The diagnoses of two cases were made pre-operatively by intravenous urography, retrograde pyelography and computed tomography. Each patient received surgical treatment, with good result. The diagnosis, treatment options and prognosis in cases of retrocaval ureter were discussed and relevant literature, reviewed.

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