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      Ureteritis Cystica: Important Consideration in the Differential Diagnosis of Acute Renal Colic

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          Abstract

          Ureteritis cystica is an uncommon cause of acute renal pain. The aetiology remains unclear and the diagnosis may be difficult to establish. We report the case of a 29 year old woman with a history of repeated urinary tract infections presenting with acute renal colic in the absence of lithiasis. We review the diagnostic tools available to make the diagnosis and the recent pertinent literature.

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          Most cited references 15

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          Ureteritis Cystica: A Radiologic Pathologic Correlation

          Ureteritis cystica (UC) is a benign condition that commonly affects the ureter and can mimic other conditions such as transitional cell carcinoma, blood clots, air bubbles, radiolucent stones, fibroepithelial polyps, and sloughed renal papillae. Radiographically, UC is characterized by multiple small, round, lucent defects, which cause scalloping of the ureteral margins when seen in profile. The scalloping is produced by the projection of the submucosal cysts into the lumen and represents an important differential feature of this disease. We present a case of UC with a radiological pathological correlation.
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            Cystic pyeloureteritis: review of 34 cases. Radiologic aspects and differential diagnosis.

            To refine the clinical and radiologic description of an unusual benign disease, cystic pyeloureteritis (CPU), consisting of the appearance of suburothelial cysts that raise the mucosa layer of the urothelium. We also studied its relationship with various types of inflammation, including chronic infection, that may be the stimulus for the appearance of CPU. We compiled 34 cases of CPU covering the period 1976 to 1994, analyzing the clinical manifestations, diagnostic procedures, differential diagnosis, and evolution. There are no specific symptoms associated with the presence of cysts. The average age of the patients was 59 years (range 30 to 77). Urinary tract infection was detected in 18 (53%). The pyeloureteritis was unilateral in 27 (79%) and bilateral in 7 (21%) of the patients. The location of the cysts was as follows: 1 pyelic (3%); 6 pyeloureteral (18%); and 27 (79%) ureteral. Resolution of the radiologic alterations depends on the resolution of the associated pathology: infections, lithiasis, and obstruction. We conclude that CPU is a benign pathology with indolent evolution and variable duration; it is not associated with sequelae. Diagnosis is made on the basis of radiologic findings, mainly intravenous urography; in view of the minor entity of the pathology, biopsy is not advisable if the radiologic findings are conclusive.
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              [Cystic ureteritis in a kidney transplantation candidate].

              Cystic ureteritis is a very uncommon pathology, whose pathogenesis is not well established. It is usually asociated with chronic infectious factors. It presents unspecific symptoms but characteristic radiologic findings. There is not an especific treatment for this disease. Kidney transplant is the final pathway for patients with chronic renal failure. We report a case of cystic ureteritis diagnosed during pre-transplant study.
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                Author and article information

                Journal
                Clin Med Insights Case Rep
                Clin Med Insights Case Rep
                Clinical Medicine Insights. Case Reports
                Libertas Academica
                1179-5476
                2012
                22 March 2012
                : 5
                : 29-33
                Affiliations
                [1 ]University Hospital of Salamanca, Department of Urology, Salamanca, Spain
                [2 ]University Hospital of Salamanca, Department of Radiology, Salamanca, Spain
                Author notes
                Corresponding author email: padillaf83@ 123456hotmail.com
                Article
                ccrep-5-2012-029
                10.4137/CCRep.S9189
                3315289
                22474406
                © the author(s), publisher and licensee Libertas Academica Ltd.

                This is an open access article. Unrestricted non-commercial use is permitted provided the original work is properly cited.

                Categories
                Case Report

                Medicine

                ureteritis cystica, ureteral diseases, urinary tract infection, renal colic

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