輸尿管囊腫脫垂合併急性疼痛與尿滯留:病例報告

林奇柏1、許耀仁2、傅玉瑋2、錢大維2、石宏仁1、林介山1、張進寶1、王百孚1、嚴孟意1
黃勝賢1、陳俊吉1、江恆杰1、張建祥1、陳柏華1、陳一中1、潘岳1

彰化基督教醫院泌尿外科1;彰化基督教醫院小兒外科2

 

Prolapsed Ureterocele Causing Acute Pain and Urine Retention: A Case Report

Chi-Bo Lin1, Yao‑Jen Hsu2, Yu-Wei Fu2, Taiwai Chin2 , Hung-Jen Shih, Jesun Lin, Chang-Pao Chang, Bai-Fu Wang, Meng-Yi Yan, Sheng-Hsien Huang, Chun-Chi Chen, Herng-Jye Jiang, Jian-Xiang Zhang, Pao-Hwa Chen, Yi-Zhong Chen, Pan Yueh

Division of Urology, Department of Surgery, Changhua Christian Hospital1Division of Pediatric Surgery, Department of Surgery, Changhua Christian Hospital2

 

Ureterocele is a cystic dilatation of submucosal distal ureter. This condition presents an incidence about 1/5000 to 1/12000 and is higher in infants and young children. It is more frequent in women. However, the presentation as urethral prolapse is extremely rare, appearing in only 5% of cases. We present a case with recurrent prolapsed ureterocele, including clinical presentation, images, and management.

A 12-year-old girl presented with occasional protruding mass from genital area which could be reduced spontaneously or with manual push. However, the protruding mass from genital area during defecation was noted and could not be pushed back. Accompany symptoms including pain, urine retention, and bleeding. The patient was then brought to our emergency room. Prolapsed ureterocele was diagnosed after gynecologic ultrasound which showed right hydronephrosis and hydroureter. The transurethral unroofing operation was performed after reduction of prolapsed ureterocele. The symptoms subsided after the operation. Currently, the patient is still following-up in our outpatient department.

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    2022-06-07 15:16:23
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