[A case of ectopic ureterocele in a male adult found during examination of a traumatic injury].
We report a case of ectopic ureterocele in a male adult found during examination of a traumatic injury. A 26-year-old man sustained a blow to his left back during a football game and was admitted to the hospital with a complaint of abdominal pain. The computed tomographic scan showed a huge cystic mass in the retroperitoneum. A cystoscope revealed a large bulge from the left ureteral orifice to the bladder neck and another ureteral orifice distal to the bulge. Retrograde pyelography revealed an ectopic ureterocele showing a complete duplication, a lateral deviation of the left ureter and a bladder deviation to the right. An ectopic ureteral orifice was opening in the posterior urethra. An ureteral catheter inserted into this orifice revealed a dilated left ureter from the upper half of the kidney. Because the function of left upper of kidney was maintained, a transurethral incision was performed. Vesicoureteral reflux remained, but the postoperative course was uneventful. We discuss 11 cases of ectopic ureterocele in male adults including this case.
Sakamoto
Yuuichi
Y
Department of Urology, Hyougo Prefectural Hospital.
Hyoudou
Youji
Y
Okamoto
Masayuki
M
Yamada
Yuji
Y
Takechi
Yosizumi
Y
D000328:Adult; D003558:Cystoscopy; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed; D014513:Ureter / Q000002:abnormalities*; D014518:Ureterocele / Q000000981:diagnostic imaging*; D014567:Urography; D014949:Wounds, Nonpenetrating