Misdiagnosis of expansion of two cases of ureteral.doc

 PAGE \* MERGEFORMAT 5 Misdiagnosis of expansion of two cases of ureteral [Keywords:] ureter expansion, pelvic mass Ureteral expansion is rare in clinical ureter disease, clinicians are often misdiagnosed lack of appropriate knowledge, 2 cases of misdiagnosed cases now reported as follows. A case report Example 1, the patient, female, 23 years old, unmarried. 1 pelvic masses by physical examination found more than a month, out of “pelvic mass” closing the hospital. Admission examination: T, P, R are normal, BP 120/80 mm Hg, DRE: annex areas in the left some children may reach a large head mass, not active. preoperative ultrasound Hint: see the left side area of #8203;#8203;about 12.4 cm × 9.3 cm cystic mass, left kidney water, increased echo , blood flow decreased. preoperative investigation AFP, CEA, CA125 were normal, liver and kidney functions were normal, and three conventional. perfecting that preoperative examination for laparoscopic surgery. Microscopically, normal-sized uterus, both ovaries and fallopian tubes were normal, the left pelvic to pelvic retroperitoneal cystic was outstanding. open and isolated retroperitoneal cysts see about 13 cm × 11 cm, gradually reduced upward at the entrance to the pelvis were tubular, cystic fluid extraction puncture see yellow clear liquid. consideration ureter or conversion to open surgery in the narrow entrance to see the left ureter bladder catheter can not, not expansion of the upper ureter, left kidney no capsule, about 3 cm × 5 cm size, there are numerous vesicles shape of a bunch of grapes. right kidney and ureter were normal, intraoperative left kidney and left ureter removed. surgery went well and good wound healing after surgery, were discharged. pathologic report: renal cyst with the left ureter expansion. Example 2, the patient, female, 53 years old, for “5 years recurrent right lower abdominal pain, pelvic mass found in 4 years” treatment. Clinic to “uterine fibroids, pelvic mass,” received