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

      case-report

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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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          Cystic pyeloureteritis: review of 34 cases. Radiologic aspects and differential diagnosis.

          Violeta Menendez, Xavier Sala, Ricardo Álvarez-Vijande … (1997)
          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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            Ureteritis Cystica: A Radiologic Pathologic Correlation

            Jennifer G Rothschild, Guan Wu (2011)
            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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              Ureteritis cystica: a rare cause of ureteral obstruction.

              R. John Honey, Michael Ordon, Wayne Ray (2010)
              Ureteritis cystica is a rare, but recognized cause of ureteral obstruction. To our knowledge, we present the first case where obstruction secondary to the cystic component is confirmed with a functional study. Additionally, we present high-quality radiologic and endoscopic images of two cases of ureteritis cystica.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Clin Med Insights Case Rep
                Journal ID (iso-abbrev): Clin Med Insights Case Rep
                Title: Clinical Medicine Insights. Case Reports
                Publisher: Libertas Academica
                ISSN (Electronic): 1179-5476
                Publication date Collection: 2012
                Publication date (Electronic): 22 March 2012
                Volume: 5
                Pages: 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
                Publisher ID: ccrep-5-2012-029
                DOI: 10.4137/CCRep.S9189
                PMC ID: 3315289
                PubMed ID: 22474406
                SO-VID: 4363b1ed-9550-47de-8544-8da6a712f7d7
                Copyright © © the author(s), publisher and licensee Libertas Academica Ltd.
                License:

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

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                Categories
                Subject: Case Report

                ScienceOpen disciplines: Medicine
                Keywords: ureteritis cystica,ureteral diseases,urinary tract infection,renal colic
                Data availability:
                ScienceOpen disciplines: Medicine
                Keywords: ureteritis cystica, ureteral diseases, urinary tract infection, renal colic

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