Bilateral ureteritis and cystitis

Case contributed by Dr Henry Knipe

Presentation

Three days lower abdominal pain with fevers, nausea. WCC +++ in urine.

Patient Data

Age: 20
Gender: Female

Mild prominence of the collecting system on the left. Both kidneys enhance normally with no surrounding stranding. Both ureters show peripheral wall enhancement, most pronounced in the proximal left ureter. 

The bladder is thick-walled and also demonstrates peripheral enhancement. No evidence of obstruction. No associated fat stranding.

Liver, spleen, adrenal glands, pancreas, right kidney and gallbladder all have a normal appearance. The appendix is visualised and is of a normal appearance. Aside from colonic faecal loading the bowel is unremarkable. No free fluid or free gas. 

Conclusion:

Ureteritis and cystitis. Mild prominence of the renal pelvis on the left, without evidence of definite obstruction or established lobar nephronia or renal abscess. 

Case Discussion

Ureteritis refers to inflammation of the ureters and it can have a number of causes. The most common, as in this case, is from an ascending urinary tract infection (Staphylococcus saprophyticus was isolated from the urine culture).

Unsurprisingly cystitis is also demonstrated in this case. 

PlayAdd to Share

Case information

rID: 25340
Case created: 21st Oct 2013
Last edited: 24th Aug 2017
System: Urogenital
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.