Intravescical ureterocele

Case contributed by Domenico Nicoletti
Diagnosis certain

Presentation

Incidental finding in a female patient with pelvic pain for about ten days.

Patient Data

Age: 55 years
Gender: Female

Pelvic ultrasound

ultrasound
Transverse
Longitudinal
Transverse
Longitudinal
Longitudinal
Longitudinal
Longitudinal
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Info

Transabdominal color doppler US image shows anechoic cystic dilatation of the distal left ureter and the presence of a ureteric jet (ureteric jet angle of approximately 90°) indicates the absence of complete obstruction. Both kidneys are normal. In segment 6 of the liver, there is a 2.5 cm hemangioma.

Radiographer: TSRM Nunzio Bianco

Case Discussion

A ureterocele is visible as a cystic lesion in the bladder 2. Diagnosis of ureterocele is helpful because it can cause obstruction, urinary tract infection, and hydronephrosis 1. Treating ureterocele prevents complications that can lead to kidney failure 1. Ureteric jets are normally symmetrical, valid (if they cross the midline) and are not synchronous. The identification of the ureteric jet excludes the presence of complete obstruction.

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