Hydroureteronephrosis Secondary to Juxta-uretrovesical Junction Bladder Diverticula

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• 作者：Fabio Cesar Mir ; a Torricelli ; Shih-Chieh Jeff Chueh ; Shu-Jane Shen ; David A. Levy ; Manoj Monga
• 刊名：Urology
• 出版年：2013
• 出版时间：September, 2013
• 年：2013
• 卷：82
• 期：3
• 页码：e26-e27
• 全文大小：372 K

文摘

Bladder diverticulum is rarely associated to hydroureteronephrosis. We present clinical images of an adult patient with a bladder diverticulum near the ureterovesical junction (UVJ) with secondary obstruction. An 84-year-old man presented with left hydroureteronephrosis and a presumed 25-mm left ureteral stone at UVJ on computed tomography. Cystoscopy revealed a stone located in a bladder diverticulum just cephalad and medial to left ureteral orifice; the patient successfully underwent endoscopic laser cystolithotripsy with resolution of his hydronephrosis. Juxta-UVJ bladder diverticula may cause obstruction of the ipsilateral upper urinary tract.