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患儿:女,6岁。因下腹部红色肿物并漏尿6年入院。患儿足月顺产,生后即被发现右下腹部有一红色肿物,肿物右上方有小孔漏尿,随年龄增长,漏尿现象无好转,但患儿有正常排尿过程,每天4～5次,每次量约100 ml,尿流成线,无尿频、尿急,无腹痛,无发热等症状。体检:一般情况较好,腹平软,右下腹部5 cm×5 cm 皮肤缺损,内见6 cm×5 cm×3 cm 红色肿物,被覆粘膜组织,肿物右上方见一小孔,有尿液流出,呈滴状,左下腹部可触及8 cm×8cm×5 cm 的肿物,柔软,屏气时向外突出,可还纳回腹腔,肿物处腹直肌不能触及。IVU 示左肾轴旋转,肾盂扩张,左下腹部示膀胱影,右肾无明显异常,
Children: female, 6 years old. Due to the lower abdomen red tumor and urine leakage 6 years admitted. Children with full-term follow-up, after birth was found in the right lower abdomen has a red tumor, small holes in the upper right of the tumor leakage, with age, leakage of urine did not improve, but children with normal urination process, daily 4 ~ 5 times, each about 100 ml, urine into a line, no urinary frequency, urgency, no abdominal pain, no fever and other symptoms. Physical examination: the general situation is good, abdominal soft, the right lower abdomen 5 cm × 5 cm skin defect, see the 6 cm × 5 cm × 3 cm red mass, the mucosal tissue was covered, see a small hole in the upper right of the tumor, there Urine outflow, was drop-shaped, the lower left abdomen can reach 8 cm × 8cm × 5 cm of the tumor, soft, breath-hold outwards, but also back to the abdominal cavity, rectus abdominis can not touch the tumor. IVU showed left renal axis rotation, pyelonephrosis, left lower abdomen showed bladder shadow, no significant abnormalities in the right kidney,