成人男子の異所性尿管瘤の1例

Abstract

A case of ectopic ureterocele in a 50-year-old male is reported. He was admitted to the hospital with complaints of miction pain, cloudy urine and fever attack. He had had pain at voiding from time to time during the past 10 years. The prostata was swollen, edematous and tender. Cystoscopy revealed a large bulge in the left trigone to bladder neck, and two ureteral orifices in the right, but none in the left. Complete duplication of the right ureter, lateral deviation of left ureter, and bladder deviation to the right were detected on the drip infusion pyelogram. An ectopic ureteral opening was present in the posterior urethra. A 5 Fr ureteral catheter inserted into this orifice revealed a dilated & tortuous left ureter which belonged to the left upper half kidney. No communication between the ureter & seminal vesicle was revealed by seminal vesiculography. Ureterectomy from left upper half kidney and resection of ureterocele were performed together with ureterovesicoanastomosis to drain urine from the left lower half of kidney.