Àá½Ã¸¸ ±â´Ù·Á ÁÖ¼¼¿ä. ·ÎµùÁßÀÔ´Ï´Ù.

Bilateral Single Ectopic Ureters Draining Into a Grossly Dilated Vagina in an Adolescent Female

´ëÇѺñ´¢±â°úÇÐȸÁö 2013³â 54±Ç 7È£ p.482 ~ 485
Mandal Soumendra Nath, Jagadheesan Gokulakrishnan Puttuthakku, Kamal Mir Reza, Mukherjee Satyadip, Karmakar Dilip, Das Ranjit Kumar,
¼Ò¼Ó »ó¼¼Á¤º¸
 ( Mandal Soumendra Nath ) 
Calcutta National Medical College Department of Urology

 ( Jagadheesan Gokulakrishnan Puttuthakku ) 
Calcutta National Medical College Department of Urology
 ( Kamal Mir Reza ) 
Calcutta National Medical College Department of Urology
 ( Mukherjee Satyadip ) 
Calcutta National Medical College Department of Urology
 ( Karmakar Dilip ) 
Calcutta National Medical College Department of Urology
 ( Das Ranjit Kumar ) 
R.G. Kar Medical College and Hospital Department of Urology

Abstract


16-year-old female presented with dribbling of urine along with voluntary voiding since birth. Renal imaging revealed hydroureteronephrosis on the right side; the uterus and ovary were normal. A radionuclide scan showed a left nonfunctional kidney. On cystovaginoscopy, the urethra was shown to be normal and the urinary bladder was tubular with small capacity and an absent trigone. Although the vagina was capacious, no ureteric orifices were found. Computed tomography corroborated the diagnosis of bilateral, single ectopic ureters draining into a grossly dilated vagina. This case is unique because it is a bilateral single-system ureteral ectopia in a completely differentiated female genital tract that presented late in adolescence. To the best of our knowledge, this is the second such ureteral abnormality reported in the literature so far. The patient underwent ileocystoplasty with right ureteric reimplantation and nephroureterectomy for the left nonfunctional kidney, which histopathology showed to be tuberculosis. The patient is continent with cystometric capacity of more than 300 mL.

Å°¿öµå

Abnormalities;Ureter

¿ø¹® ¹× ¸µÅ©¾Æ¿ô Á¤º¸

   

µîÀçÀú³Î Á¤º¸

KCI
KoreaMed
KAMS