NEPHROLITHIASIS CASE STUDY SCRIBD

Published online Apr This case may demonstrate an idiopathic origin of ureteritis cystica, although the bilateral and diffuse involvement, lack of previous urological history, and patient age are unusual and may warrant further workup towards other diagnoses. Radiographically, a differential diagnosis of multiple transitional cell tumors, ureteral pseudodiverticula, non-opaque calculi, polyps, papillary tumors, tuberculosis, iatrogenic gas bubbles, gas-forming microorganisms, and submucosal hemorrhage can be considered with an appropriate clinical correlation [ 4 ]. National Center for Biotechnology Information , U. Journal List Cureus v.

Most of the literature points toward unilateral ureteral involvement, with rare cases of bilateral findings, as described in our case. Per the operative report, the region of the ureter thickening had the gross appearance of ureteritis cystica. Journal List Cureus v. Please review our privacy policy. Axial CT image showing thickened left ureter white arrow and moderate hydronephrosis of the left kidney red arrow CT: Repeat biopsies of both the right and left ureters showed findings of benign epithelial growth and chronic inflammation that were previously noted the month prior. Additionally, articles published within Cureus should not be deemed a suitable substitute for the advice of a qualified health care professional.

nephrolithiasis case study scribd

It is a proliferative condition characterized by multiple cysts and filling defects in the urothelium. Support Center Support Center. Clin Med Insights Case Rep. It has classically been documented in older female patients with a history of recurrent urinary tract infections or kidney stones and can be challenging to xcribd [ 2 ].

Per the operative report, the region of the ureter thickening had the gross appearance of ureteritis cystica. Bilateral ureteritis cystica with unilateral ureteropelvic junction obstruction.

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However, our patient developed bilateral ureter obstruction associated with an acute kidney injury, which has not been previously reported. Please review our privacy policy.

Most of the literature points toward unilateral ureteral involvement, with rare cases of bilateral findings, as described in our case.

Ureteritis cystica after treatment of cyclophosphamide-induced hemorrhagic cystitis. Morgagni first reported UC in [ 1 ].

Additionally, articles published within Cureus should not be deemed a suitable substitute for the advice of a qualified health care professional.

UC may be associated with chronic urothelial irritation. Introduction Ureteritis cystica UC is a rare, benign stufy of the ureters consisting of multiple, small submucosal cysts. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted scrribd, distribution, and reproduction in any medium, provided the original author and source are credited.

Other treatment modalities include ureteral dilation or mechanical disruption of cysts and ureteral catheterization.

nephrolithiasis case study scribd

Rothschild JG, Wu G. Interestingly, this patient had no obvious medical history suggesting a cause for this process. Scand J Urol Nephrol. UC is usually nephrollithiasis therefore, it is most frequently detected incidentally.

Ureteritis Cystica: An Unusual Presentation in an Otherwise Healthy Female

Radiographically, a differential diagnosis of multiple transitional cell tumors, ureteral pseudodiverticula, non-opaque calculi, polyps, papillary tumors, tuberculosis, iatrogenic gas bubbles, gas-forming nephrokithiasis, and submucosal hemorrhage can be considered with an appropriate clinical correlation [ 4 ]. The authors have declared that no competing interests exist.

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Received Mar 12; Accepted Apr Ureteritis cystica causing obstruction. Open in a separate window.

Ureteritis Cystica: An Unusual Presentation in an Otherwise Healthy Female

The diagnosis is usually made during ureteroscopy or during radiography. During stent placement, it was noted that the gross appearance of the ureters resembled ureteritis cystica. UC rarely presents with an ureteral obstruction or an acute kidney dysfunction according to the review of documented cases outlined by Padilla-Fernandez et al. Published online Apr Discussion Morgagni first reported UC in [ 1 ].

There have been isolated cases reporting UC causing obstruction in the literature but this seems to be a rare occurrence [ 6 – 7 ]. The pathological features of UC include areas of glandular metaplasia secondary to chronic urothelial inflammation. Journal List Cureus v. This case may demonstrate an idiopathic origin of ureteritis cystica, although the bilateral and diffuse involvement, lack of previous urological history, and patient age are unusual and may warrant further workup towards other diagnoses.

Our patient presented with hydronephrosis during both instances and subsequently required stent placement. In one study, UC was found in a patient following formalin treatment for cyclophosphamide-induced hemorrhagic cystitis [ 3 ].