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Case of the Week 621 
What is the most likely diagnosis?
- 67 year-old female with diabetes
Spot Image from Retrograde Pyelogram
- Blood Clots
- Intramural Hemorrhage
- Polyposis
- Transitional Cell Carcinoma
- Ureteritis Cystica
Additional Images -Another Image from Retrograde Pyelogram
Additional Images
Image from Retrograde Pyelogram
Answer:
5.Ureteritis Cystica
More (Click Discussion Tab)
Ureteritis Cystica
General Considerations
- Rare and benign condition of the ureter and sometimes renal pelvis (pyelitis cystica) resulting from multiple fluid-containing submucosal cysts
- Associated with chronic inflammation and diabetics with chronic and recurring urinary tract infections
- Also associated with nephrolithiasis and chronic obstruction
- Cysts result from degeneration of epithelial cells
- Most often found at 50-60 years of age
- Bilateral in up to 50% of cases
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67 year-old female with diabetes |
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