Ureteral pseudodiverticulosis

Case contributed by Dr Matt A. Morgan

Presentation

Microscopic hematuria. The patient recently had a CT urogram in which there was nonfilling of the right distal ureter, so a retrograde pyelogram was ordered.

Patient Data

Age: 60-65Y
Gender: Male
Modality: Fluoroscopy

Images from a retrograde pyelogram: In the midureter, there are tiny (1-2 mm) outpouchings of contrast, compatible with ureteral pseudodiverticulosis.

Modality: Annotated image

Arrows point to the multiple tiny pseudodiverticula in the midureter.

Case Discussion

Ureteral pseudodiverticulosis is an uncommon process that has been associated with the development of urothelial (transitional) cell carcinoma.

It can be seen on a CT urogram (CTU), but is much easier to detect on IVU or a retrograde pyelogram. In this case, the pseudodiverticula were not visible on the CTU.

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Case Information

rID: 44101
Case created: 6th Apr 2016
Last edited: 14th Aug 2016
System: Urogenital
Tag: ureter
Inclusion in quiz mode: Included

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