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03:19
Point-of-Care Kidney and Genitourinary Ultrasound in Adults: Image Acquisition
Published on: June 21, 2024
[Bilateral pyeloureteritis cystica: a case report]
Hiroki Yamada1, Koji Asano, Kazuhiro Abe
1Department of Urology, Jikei University School of Medicine.
Hinyokika Kiyo. Acta Urologica Japonica
|September 13, 2003
Summary
This case study details bilateral pyeloureteritis cystica, a rare condition found in a 67-year-old woman presenting with asymptomatic macrohematuria. Imaging and biopsy confirmed the diagnosis, with the patient undergoing observation rather than adjuvant therapy.
Area of Science:
- Urology
- Pathology
Background:
- Pyeloureteritis cystica is a rare benign inflammatory condition characterized by submucosal cysts in the renal pelvis and ureters.
- It can present with various urinary symptoms or be asymptomatic, posing diagnostic challenges.
Observation:
- A 67-year-old female presented with asymptomatic macrohematuria.
- Radiological imaging, including drip infusion pyelography and enhanced computed tomography, revealed multiple small, round filling defects in both renal pelvises and ureters.
- Ureteroscopy with cold punch biopsy was performed for definitive diagnosis.
Findings:
- Histological examination confirmed the presence of pyeloureteritis cystica.
- The condition affected both the renal pelvises and ureters bilaterally.
Implications:
- This case highlights the importance of considering rare diagnoses like pyeloureteritis cystica in patients with unexplained urinary findings.
- The successful management through careful follow-up without adjuvant therapy suggests a conservative approach may be appropriate in select cases.
- Further research into the etiology and optimal management of pyeloureteritis cystica is warranted.
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