Ureteritis cystica

Case contributed by Dr Ian Bickle

Presentation

Female patient in 60's presents with right flank pain and sepsis.

Patient Data

Age: 60's
Gender: Female
Modality: Fluoroscopy

Single 'shot' image from the time of nephrostomy tube insertion.

Long segment of muscoal irregularity in the proximal right ureter with associated narrowing.

Although patent the ureter is narrowed with mild post-stenotic dilatataion.

Case Discussion

This single image was acquired at the time of nephrostomy tube insertion for pyonephrosis.

The appearances are in keeping with ureteritis cystica.

This is often associated with an underlying chronic infection.  In this instance, tuberculosis is strongly suspected although not proven on urine cytology to date.  Ureteroscopy and biopsy to be performed in due course.

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Case Information

rID: 25166
Case created: 9th Oct 2013
Last edited: 14th Jan 2016
System: Urogenital
Inclusion in quiz mode: Included

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