1. 知識庫
  2. 目錄總覽
  3. 學術活動與演講
  4. 年會
  5. 2024半年會
  6. 摘要

病例報告：不完全雙套集尿系統的結石

羅偉恩、王曉暹、黃家倫、楊景偉、陳光國、張心湜、蔡昇翰、謝啟誠

振興醫療財團法人振興醫院泌尿部

Case Report: Incomplete Duplication of Collecting System with Ureteral Stone

Wei-En Luo, Hsiao-Hsian Wang, Chia-Lun Huang, Chin-Wei Yang, Kuang-Kuo Chen, Luke S. Chang, Sheng-Han Tsai, Chieh-Chen Hsieh

Department of Urology, Cheng Hsin General Hospital, Taipei, Taiwan

 

Case presentation: 

A 43 years-old female visited urology outpatient department for persisted left ureter stone with renal colic, after attempted ureteroscopy lithotripsy in other hospital 3 weeks ago. At urology clinic, KUB showed left ureteropelvic junction stone and double J catheterization in the left collecting system. Urinalysis revealed RBC = 30-49/HPF and WBC = 6-9/HPF. Abdominal CT scan revealed double J catheter in situ but not over the stone. Retrograde Intrarenal Surgery with flexible ureteroscopy was performed. Incomplete duplication of collecting system with ureteral stone impaction in the lower moiety. Lithotripsy was done with holmium laser and a 4.8 Fr 26 cm double J catheter was implanted to the collecting system. Postoperative image of KUB showed stable double J catheter in the left collecting system with no radiopaque lesions. The patient recovered well and had follow up at urology outpatient department.

  

Discussion:

  Ureteral duplication is most common in females and may be incomplete or complete. Complications of  incomplete duplication is most often associated with ureteroureteral reflux or ureteropelvic junction obstruction of the lower pole of the kidney, which may also be associated with urinary stones. Incomplete duplication of collecting system may be difficult to detect preoperatively. During endoscopic surgeries, the lesions such as urinary stones or tumors may easily be neglected. Therefore, preoperative image study such as CT urography is helpful for diagnosis.  

 

    上一篇 下一篇
    位置
    1. 知識庫
    2. 目錄總覽
    3. 學術活動與演講
    4. 年會
    5. 2024半年會
    6. 摘要
    資料夾名稱
    摘要
    發表人
    TUA線上教育_家琳
    單位
    台灣泌尿科醫學會
    建立
    2024-01-10 13:53:06
    最近修訂
    2024-01-10 13:53:58
    1. 1.
      Podium 1
      1. 1.1
        PD01-01: Safety and efficacy of enzalutamide by ereatment duration in the Asian subgroup from ARCHES: A post hoc analysis
      2. 1.2
        PD01-02: Knockdown of EPS8 expression may attenuate disease progression in enzalutamide-resistant prostate cancer
      3. 1.3
        PD01-03: Neoadjuvant therapy in initially inoperable upper tract urothelial carcinoma – a comparative study with adjuvant strategies
      4. 1.4
        PD01-04: Study on the pro-tumor function of UBE2C gene in metastatic prostate cancer and tts potential as a therapeutic marker
      5. 1.5
        PD01-05: ChatGPT-4 as a tool for patient education: artificial intelligence and urological cancer-related queries
      6. 1.6
        PD01-06: Retroperitoneal laparoscopic adrenalectomy for large adrenal tumors—analysis of tumor size and adverse events: A retrospective single-center study
    2. 2.
      Podium 2
      1. 2.1
        PD02-01: External validation of a new Taiwanese prostate cancer risk calculator within another medical centre
      2. 2.2
        PD02-02: Lenvatinib enhances Cisplatin sensitivity, induces apoptosis and inhibits metastasis in bladder cancer cells through inactivation of EGFR/ERK/P-38/NF-κB signaling
      3. 2.3
        PD02-03: Navigating the obesity paradox in bladder cancer prognosis – insights from the Taiwan national health insurance system database
      4. 2.4
        PD02-04: Immediate assessment of spermatogenesis at testicular biopsy for azoospermic males using touch print smear
      5. 2.5
        PD02-05: Early cystography before catheter removal after robot assisted radical prostatectomy
      6. 2.6
        PD02-06: To evaluate the effect of Cinnamaldehyde on the cardiac and renal pathology in a rat model of cardiorenal syndrome type 1.
    3. 3.
      Podium 3
      1. 3.1
        PD03-1: Low-intensity shock wave therapy in treating bladder overactivity induced by metabolic syndrome and hormonal deficiency: A rat model study
      2. 3.2
        PD03-2: Developing dual AI models using non-invasive clinical parameters to aid in male bladder outlet obstruction diagnosis and minimize the need for invasive video-urodynamic studies
      3. 3.3
        PD03-3: A pilot study for combination of urine biomarkers and skin sympathetic nerve activity in improving diagnostic accuracy for urge urinary incontinence
      4. 3.4
        PD03-4: Risk factors and management of fournier's gangrene: An 18-year retrospective study
      5. 3.5
        PD03-5: The impact of COVID-19 on the management of fournier's gangrene: What have we learned?
      6. 3.6
        PD03-6: Age-related differences in risk factors and clinical presentations of fournier's gangrene
    4. 4.
      Moderated Poster 01
      1. 4.1
        (MP01-01) MRI-US fusion prostate biopsy in diagnosis of prostate cancer: A preliminary experience of 3 years
      2. 4.2
        (MP01-02) Testosterone breakthrough rates during androgen deprivation therapy for castration sensitive prostate cancer
      3. 4.3
        (MP01-03) The association of matrix metalloproteinase 9 genotypes on renal cell carcinoma risks in mid-Taiwan
      4. 4.4
        (MP01-04) Comparison of sarcomatoid urothelial carcinoma in urinary bladder and upper urinary tract: A single-center experience and literature review
      5. 4.5
        (MP01-05) Oncological outcomes of primary bladder adenocarcinoma and urachal adenocarcinoma in a single center
      6. 4.6
        (MP01-06) Synchronous and metachronous bilateral testicular seminoma: Report of two cases and literature review
      7. 4.7
        (MP01-07) A retrospective risk factor analysis of acute kidney injury in patients with ureteral stones
      8. 4.8
        (MP01-08) The neural mechanisms of renal R2 chemoreceptor in LPS-induced SA-AKI
      9. 4.9
        (MP01-09) The early learning curve of extraperitoneal laparoscopic radical prostatectomy and peri-operative outcome analysis
    5. 5.
      Moderated Poster 02
      1. 5.1
        (MP02-01) Trend of life expectancy as references for radical prostatectomy of prostate cancer in Taiwan—2023 update
      2. 5.2
        (MP02-02) Adipose stem cells-derived microvesicles ameliorate unilateral ureteral obstruction-induced renal fibrosis
      3. 5.3
        (MP02-03) Comparative efficacy and safety of TUEP vs. TURP in treating large volume prostate: A single-center retrospective analysis
      4. 5.4
        (MP02-04) The effects of truffle-infused tea on renal function in patients with chronic kidney disease: A forward-looking investigation
      5. 5.5
        (MP02-05) Endoscopic combined intrarenal surgery for complex stones
      6. 5.6
        (MP02-06) The relationship between the placement of pedicle screws and the risk of ureteral stricture: A retrospective single-center cohort study
      7. 5.7
        (MP02-07) Risk factors for postoperative urinary retention following laparoscopic herniorrhaphy
      8. 5.8
        (MP02-08) Evaluation of outcomes in simultaneous laparoscopic total extraperitoneal inguinal hernia repair and transurethral prostatectomy: A retrospective analysis
      9. 5.9
        (MP02-09) Advancing patient education in urology: An in-depth assessment of ChatGPT-4's responses to non-cancer queries
    6. 6.
      Non-Discussion Poster
      1. 6.1
        NDP01: Case report: A rare tumor mimicking renal cell carcinoma with renal vein thrombus - epithelioid angiomyolipoma
      2. 6.2
        NDP02: Squamous cell carcinoma of renal parenchymal: Silent presentation with a rare malignancy metastasis
      3. 6.3
        NDP03: Primary urethral diffuse large B-cell lymphoma: A case report
      4. 6.4
        NDP04: Castleman disease over adrenal fossa
      5. 6.5
        NDP06: Post-micturition headache associated with bladder paraganglioma -A case report
      6. 6.6
        NDP07: MiT family translocation renal cell carcinoma with inferior vena cava invasion ─ A rare case report
      7. 6.7
        NDP08: Bladder outlet obstruction caused by cystitis cystica et glandularis at bladder neck
      8. 6.8
        NDP09: A case report: Oncocytic adrenocortical tumor of uncertain malignant potential
      9. 6.9
        NDP10: A para-aortic malignant melanotic nerve sheath tumor mimicking a gastrointestinal stromal tumor – a rare case report and review of literature
      10. 6.10
        NDP11: Rare differential diagnosis of hematuria: A case report and review of diffuse large B-cell lymphoma
      11. 6.11
        NDP12: Long-term survival of metastatic collecting duct renal cell carcinoma: A case report
      12. 6.12
        NDP13: Well-differentiated papillary mesothelial tumor, a rare para-testicular tumor -- case report
      13. 6.13
        NDP14: A comprehensive case report on urinary bladder amyloidosis: A rare mimic of cancer
      14. 6.14
        NDP15: Primary small cell carcinoma of the ureter and concurrent urothelial carcinoma of the bladder: A rare case report
      15. 6.15
        NDP16: Granuloma of the abdominal wall at the luteinizing hormone-releasing hormone agonist injection site after robot-assisted radical prostatectomy – a case report
      16. 6.16
        NDP17: Primary diffuse large B cell lymphoma (DLBCL) of the prostate presenting with repeated acute urine retention
      17. 6.17
        NDP18: Prostate cancer related dermatomyositis: A case report
      18. 6.18
        NDP19: Aggressive prostate cancer mimicking urothelial carcinoma: A case report
      19. 6.19
        NDP20: Single small-cell neuroendocrine tumor of urinary bladder post laser en-bloc resection : A case report and literature review
      20. 6.20
        NDP21: Neuroendocrine renal tumor-case report
      21. 6.21
        NDP22: Bladder double cancer with neuroendocrine carcinoma and urothelial carcinoma, high grade– a rare case report
      22. 6.22
        NDP23: Giant fibroepithelial polyps of the ureter presenting as a bladder tumor treated laparoscopically: A case report
      23. 6.23
        NDP24: Mature-type ganglioneuroma: A rare case report of non-functional adrenal tumor
      24. 6.24
        NDP25: Renal pelvis urothelial carcinoma with calcification masquerading as nephrolithiasis: A case report of diagnostic dilemma
      25. 6.25
        NDP26: Paraneoplastic syndrome associated with urachal poorly differentiated urothelial carcinoma – a rare case report
      26. 6.26
        NDP27: Incidental discovery of renal pelvic tumor during bilateral retrograde intrarenal surgery (RIRS): A case report with integrated approach
      27. 6.27
        NDP28: Nephrogenic adenoma of the urinary bladder: A case report1
      28. 6.28
        NDP29: Poorly differentiated urothelial carcinoma of the urachus: A case report
      29. 6.29
        NDP30: Metastatic testicular cancer with different histological characteristics from primary site: Our experience of two cases and review of literature
      30. 6.30
        NDP31: Case report: MiT family translocation translocation renal cell carcinoma
      31. 6.31
        NDP32: Case report: Large intradiverticular urothelial carcinoma with giant prostate
      32. 6.32
        NDP33: Ureteral urothelial dysplasia with duplication of the ureter – a case report
      33. 6.33
        NDP34: Inverted urothelial papilloma in bladder: Case report and review of literature
      34. 6.34
        NDP35: Adrenocortical adenoma with myelolipoma-case report
      35. 6.35
        NDP36: A case report of 18-year-old man with circumcaval ureter
      36. 6.36
        NDP37: Refractory Hematospermia caused by seminal vesicle calculi: A case sharing of transutricular seminal vesiculoscopy
      37. 6.37
        NDP38: Ultramini ECIRS for a 3.7cm staghorn stone in a patient with horseshoe kidney and ileal conduit: A case report
      38. 6.38
        NDP39: Pulmonary embolism after percutaneous nephrolithotomy: A case report
      39. 6.39
        NDP40: Corpus cavernosum sterile abscess presented with priapism: A case report
      40. 6.40
        NDP41: Perineal urethrostomy: Last resort for complex urethra stricture
      41. 6.41
        NDP42: Scrotal traumatic injury with exposed tunica vaginalis caused by a motorcycle traffic accident – A case report
      42. 6.42
        NDP43: Traumatic testicular dislocation following a motorcycle accident: A case report and literature review
      43. 6.43
        NDP44: Ureteral perforation with double-J stent malposition after percutaneous nephrolithotomy (PCNL): A rare complication case report
      44. 6.44
        NDP45: Retrograde intrarenal surgery effectively treated a case of urolithiasis with unilateral ectopic kidney
      45. 6.45
        NDP46: Integrative management of blunt ureteral trauma: Temporary diversion and robotic reconstruction
      46. 6.46
        NDP47: Robot-assisted laparoscopic excision of a huge retroperitoneal mature cystic teratoma in an adult : A rare case report
      47. 6.47
        NDP48: A case report of hydronephrosis associated with pelvic actinomycosis-related ureteral fibrosis
      48. 6.48
        NDP49: Dystrophic calcified tumor of the testis – A case report and literature review
      49. 6.49
        NDP50: Disposable circumcision suture device: A safe and effective method to perform circumcision for children
      50. 6.50
        NDP51: 46, XX male reversal syndrome: A rare case report
      51. 6.51
        NDP52: Vesical stone formation on non-absorbable suture after colporrhaphy surgery
      52. 6.52
        NDP53: Hematuria beyond malignancy in hemodialysis patient. A case report of emphysematous cystitis
      53. 6.53
        NDP54: Traumatic injury of the penile urethra secondary to metallic urethral plug dislodgment: A case report and review of literature
      54. 6.54
        NDP55: A case report: The dilemma of renal mass leision, abcess or angiomyolipoma(AML) rupture?
      55. 6.55
        NDP56: A case report: Pelvic congestion syndrome with nutcracker syndrome in a female with interstitial cystitis
      56. 6.56
        NDP57: Novel diagnostic approach of giant spermatocele mimicking hydrocele: A case report
      57. 6.57
        NDP58: Sclerosing lymphangitis of the penis
      58. 6.58
        NDP59: Nutcracker syndrome concealed as varicocele: A clinical report and literature review
      59. 6.59
        NDP60: Ileovesical fistula related to crohn’s disease: A case report
      60. 6.60
        NDP61: Initial diagnosis as penile fracture in the case of paraphimosis – a case report
      61. 6.61
        NDP62: Retrograde intrarenal surgery for a giant para-pelvic cyst: A case report
      62. 6.62
        NDP63: Management of bilateral renal stones and large upper ureteric calculus by percutaneous nephrolithotomy simultaneously- a case report
      63. 6.63
        NDP64: A case report: Sudden onset acute vasitis in an immunocompetent young man
      64. 6.64
        NDP65: Beyond the norm: Unusual perivesical hematoma post laser TUEP
      65. 6.65
        NDP66: Case report: Incomplete duplication of collecting system with ureteral stone
      66. 6.66
        NDP67: Hem-o-lok clip migration presenting as a bladder stone 12 years after laparoscopic radical prostatectomy
      67. 6.67
        NDP68: Diabetes balanoposthitis
      68. 6.68
        NDP69: Endometriosis with bladder invasion: A case report
      69. 6.69
        NDP70: Ureterolithiasis with a rare foreign body in the urinary bladder: A case report and literature review
      70. 6.70
        NDP71: Spontaneous retroperitoneal hemorrhage: A case report
      71. 6.71
        NDP72: Ectopic kidney
      72. 6.72
        NDP73: Endoscopic management of a large bladder diverticulum with laser fulguration- a case report
      73. 6.73
        NDP74: Bladder stone with core component of hem-o-lok clips after robotic-assisted radical prostatectomy: A case report and literature review
      74. 6.74
        NDP75: Intrauterine device calculus in the bladder
    地址：台北市 11051 信義區基隆路一段432號6樓之1, 電話：02-2729-0819, 傳真：02-2729-0864
    網址: http://eschool.tua.org.tw,  EMail: eschool@tua.org.tw