NEPHROLITHIASIS CASE STUDY SCRIBD

The diagnosis is usually made during ureteroscopy or during radiography. It is a proliferative condition characterized by multiple cysts and filling defects in the urothelium. Coronal CT image showing thickened left ureter white arrow and moderate hydronephrosis of the left kidney red arrow CT: UC may be associated with chronic urothelial irritation. There have been isolated cases reporting UC causing obstruction in the literature but this seems to be a rare occurrence [ 6 – 7 ].

Per the operative report, the region of the ureter thickening had the gross appearance of ureteritis cystica. Received Mar 12; Accepted Apr 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. 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 ]. Author information Article notes Copyright and License information Disclaimer.

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 ].

Small filling defects and a bead-like appearance with regular surfaces in the ureter and renal pelvis are the typical findings demonstrated in intravenous or retrograde pyelogram. Additionally, articles published within Cureus should not be deemed a suitable substitute for the advice of a qualified health care professional.

Ureteritis Cystica: An Unusual Presentation in an Otherwise Healthy Female

During stent placement, it was noted that the gross appearance of the ureters resembled ureteritis cystica. She had been otherwise healthy with no recurrent episodes of urinary tract infection, nephrolithiasis, or sexually transmitted infection.

  EPICDUEL THESIS PROPOSAL

nephrolithiasis case study scribd

Other treatment modalities include ureteral dilation or mechanical disruption of cysts sctibd ureteral catheterization. Support Center Support Center. All content published within Cureus is intended only for educational, research and reference purposes. Bilateral ureteritis cystica with unilateral ureteropelvic junction obstruction. UC may be associated with chronic urothelial irritation. Introduction Ureteritis cystica UC is a rare, benign condition of the ureters consisting of multiple, small submucosal cysts.

Ureteritis Cystica: An Unusual Presentation in an Otherwise Healthy Female

Pyelitis, ureteritis and cystitis cystica; pp. Ureteritis cystica after treatment of cyclophosphamide-induced hemorrhagic cystitis.

There have been isolated cases reporting UC causing obstruction in the literature but this seems to be a rare occurrence [ 6 – 7 ]. 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.

Received Mar 12; Accepted Apr Cureus is not responsible for the scientific accuracy or reliability of data or conclusions published herein. The pathological features of UC include areas of glandular metaplasia secondary to chronic urothelial inflammation.

Interestingly, this patient had no obvious medical history suggesting a cause for this process. Human Ethics Consent was obtained by all participants in this study. In one study, UC was found in a patient following formalin treatment for cyclophosphamide-induced hemorrhagic cystitis [ 3 ]. 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.

  ANNOTATED BIBLIOGRAPHY MOCKINGJAY

Morgagni first reported UC in [ 1 ]. However, our patient developed bilateral ureter obstruction associated with an acute kidney injury, which has not been previously reported.

Please review our privacy policy. Rothschild JG, Wu G. Our patient presented with hydronephrosis during both instances and subsequently required stent placement. UC is usually asymptomatic; therefore, it is most frequently detected incidentally. 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.

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

nephrolithiasis case study scribd

Coronal CT image showing thickened left ureter white arrow and moderate hydronephrosis of the left kidney red arrow CT: Scand J Urol Nephrol. This is an open access article distributed under the scrihd of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Alexander Muacevic and John R Adler. We present an unusual bilateral case of UC in a year-old healthy woman with no history of the predisposing risk factors mentioned above.

It is a proliferative condition characterized by multiple cysts and filling defects in the urothelium.

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