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Case of the Week 621


What is the most likely diagnosis?

  • 67 year-old female with diabetes



Spot Image from Retrograde Pyelogram

  1. Blood Clots
  2. Intramural Hemorrhage
  3. Polyposis
  4. Transitional Cell Carcinoma
  5. Ureteritis Cystica

Additional Images -Another Image from Retrograde Pyelogram

 

Additional Images

 

Image from Retrograde Pyelogram


Answer:

5. Ureteritis Cystica

More (Click Discussion Tab)

 

 

Ureteritis Cystica

General Considerations

  • Rare and benign condition of the ureter and sometimes renal pelvis (pyelitis cystica) resulting from multiple fluid-containing submucosal cysts
  • Associated with chronic inflammation and diabetics with chronic and recurring urinary tract infections
  • Also associated with nephrolithiasis and chronic obstruction
  • Cysts result from degeneration of epithelial cells
  • Most often found at 50-60 years of age
  • Bilateral in up to 50% of case

 

MORE . . .


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This Week

67 year-old female with diabetes
 
 



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is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.