Drooping lily sign (ureter)

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Right flank pain.

Patient Data

Age: 25 years
Gender: Female
Fluoroscopy

Right sided duplicated collecting system with the upper moiety obstruction, and non-functioning. It displaces the lower pole moiety inferiorly, mimicking the appearance of a drooping lily.

CT

Right sided duplicated collecting system with the upper moiety obstruction, and non-functioning. It displaces the lower pole moiety inferiorly, mimicking the appearance of a drooping lily.

Case Discussion

Typical case of the drooping lily sign that refers to the inferolateral displacement of the opacified lower pole moiety due to an obstructed (and unopacified) upper pole moiety in duplicated collecting system.

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Case information

rID: 61705
Published: 15th Jul 2018
Last edited: 14th Aug 2019
System: Urogenital
Inclusion in quiz mode: Included
Institution: Tabesh medical imaging center

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