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Two unusual causes of ureteric indentation
Summary
Unusual ureteral indentations caused by an inferior vena cava clip and a vaginal tampon presented diagnostic challenges. These rare cases highlight the importance of considering extrinsic factors in ureteral imaging interpretation.
Area of Science:
- Urology
- Radiology
- Medical Imaging
Background:
- Ureteral indentation is typically caused by well-documented conditions.
- Accurate diagnosis of ureteral abnormalities is crucial for patient management.
Observation:
- Two unique cases of ureteral indentation were observed.
- One case involved indentation by an inferior vena cava clip.
- The second case involved indentation by a vaginal tampon.
Findings:
- Neither case resulted in significant ureteral obstruction.
- Both cases presented as diagnostic conundrums on imaging.
- The findings suggest extrinsic compression can mimic intrinsic ureteral pathology.
Implications:
- These cases expand the differential diagnosis for ureteral indentation.
- Radiologists and urologists should consider rare extrinsic causes.
- Awareness of these unusual etiologies can prevent misdiagnosis and guide appropriate investigations.