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[A case of bilateral multiple ureteral diverticula]
Masakatsu Tawada1, Hirokazu Ishida, Koji Muranaka
1Department of Urology, Nagahama City Hospital.
Hinyokika Kiyo. Acta Urologica Japonica
|October 31, 2002
Summary
This case report details a rare condition of multiple ureteral diverticula found in a 73-year-old man presenting with asymptomatic gross hematuria. This diagnosis, confirmed via imaging, represents the 21st documented instance in Japanese literature.
Area of Science:
- Urology
- Radiology
- Medical Case Reports
Background:
- Multiple ureteral diverticula are an exceptionally rare congenital anomaly of the urinary tract.
- Diagnosis often relies on advanced imaging techniques due to subtle or absent symptoms.
Observation:
- A 73-year-old male presented with asymptomatic gross hematuria, prompting further investigation.
- Initial urine cytology was negative for malignancy.
- Radiographic imaging, including drip infusion pyelography and retrograde pyelography, identified bilateral multiple out-patchings in both ureters.
Findings:
- The imaging findings were consistent with multiple ureteral diverticula, a condition rarely documented.
- This case represents the 21st reported instance in the Japanese medical literature.
Implications:
- Highlights the importance of comprehensive imaging in evaluating unexplained hematuria, even when asymptomatic.
- Adds to the limited body of knowledge on multiple ureteral diverticula, aiding future diagnostic and research efforts.
- Underscores the rarity of this congenital anomaly and its varied clinical presentations.