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下腔静脉后输尿管是一种少见的先天性疾病。我院自1986—07以来收治2例,现报告如下。例1男,35岁。于1986—07—30以右肾盂积水入院。右腰部钝痛1a(年),肉眼、无痛、间断性血尿4mo,在外院以肾结核治疗无效。检查:立位可触及右肾下极。排泄性肾盂造影:左肾正常,右肾盂及输尿管上段扩张,远端输尿管未显影。右逆行造影输尿管呈“S”形。于8月16日行右逆行尿路与下腔静脉插管造影,显示右输尿管于第四腰椎绕至导管后方(附图)。诊断:下腔静脉后输尿管。于8月28日经右侧腹直肌外缘切口,暴露上、中段
Inferior vena cava ureter is a rare congenital disease. Our hospital since 1986-07 admitted to 2 cases, the report is as follows. Example 1 male, 35 years old. In 1986-07-30 to the right renal pelvis admission. Right lumbar dull pain 1a (years), naked eye, painless, intermittent hematuria 4mo, outside the hospital to treat tuberculosis ineffective. Check: standing position can reach the lower right kidney. Excretory pyelography: normal left kidney, upper right renal pelvis and ureter dilatation, distal ureter was not developed. Right retrograde contrast ureter was “S” shape. On August 16, right retrograde urinary catheterization and IVC catheterization showed that the right ureter was around the fourth lumbar vertebra (Figure). Diagnosis: inferior vena cava ureter. On August 28 by the right rectus abdominis incision, exposed in the middle