Blind-ending Bifid Ureter - A Case Report of Rare Congenital Anomaly and its Sonographic Appearance.

IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of Ultrasonography Pub Date : 2022-09-01 DOI:10.15557/jou.2022.0031

Wojciech Łyczek, Bartosz Migda

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引用次数: 1

Abstract

Aim of the study: We report a case of a blind-ending bifid ureter in a 67-year-old woman with ascites initially diagnosed with B-mode and Color Doppler ultrasonography and afterwards verified with contrast-enhanced abdominal computed tomography. A literature review of the pathogenesis, sonographic appearance with differential diagnoses and clinical significance is also presented and discussed.

Case description: The patient was referred for an abdominal ultrasound due to enlarged abdomen circumference. Ultrasound revealed signs of chronic pancreatitis with cavernous transformation of the portal vein and large ascites resulting in bilateral pelvicalyceal system dilatation. Additionally, we have preliminarily diagnosed right-sided, dilatated blind-ending bifid ureter with associated contralateral complete duplication of the ureter and the collecting system. These findings, initially revealed with ultrasound, were confirmed with contrast-enhanced abdominal computed tomography.

Conclusions: To our knowledge, this is the first detailed description of sonographic appearance of blind-ending bifid ureter.

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盲端输尿管双裂- 1例罕见先天性异常及其超声表现。

研究目的:我们报告了一例67岁女性腹水患者的盲端输尿管，最初通过b超和彩色多普勒超声诊断，随后通过增强腹部计算机断层扫描证实。并就其发病机制、超声表现、鉴别诊断及临床意义作一文献综述。病例描述:患者因腹围增大而接受腹部超声检查。超声显示慢性胰腺炎的征象，伴有门静脉海绵状转变和大量腹水，导致双侧盆腔系统扩张。此外，我们还初步诊断了右侧扩张的盲端输尿管双裂，并伴有对侧输尿管和集合系统的完全重复。这些发现最初是通过超声发现的，后来通过增强腹部计算机断层扫描得到证实。结论:据我们所知，这是第一次详细描述盲端输尿管双裂的超声表现。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Ultrasonography RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

2.30

自引率

0.00%

发文量

审稿时长

20 weeks