Ureterocele (IVP)

Case contributed by Rupesh Namdev
Diagnosis certain

Presentation

Recurrent urinary tract infections.

Patient Data

Age: 25 years
Gender: Female
Fluoroscopy

Plain radiograph shows no calcification along the urinary tract. Post intravenous contrast radiograph shows dilatation of the left distal ureter showing a "cobra's head'' appearance and "radiolucent halo" effect. Findings represent intravesical ureterocele of left ureter.

Case Discussion

Ureterocele represents abnormal dilatation of the distal ureteric segment. Ureteroceles may be associated with either a single or a duplex ureter. Ureteric duplication is present in about 75% of cases of ureteroceles. Ureteroceles have a female predilection.

Ureteroceles can be further classified into simple and ectopic types.

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