Ureteritis cystica

Case contributed by Ian Bickle


Right flank pain and sepsis.

Patient Data

Age: 60 years
Gender: Female

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

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

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

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.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

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

 Thank you for updating your details.