Tan Ayca, Unluoglu Saime, Bayol Umit, Emil Sayhan Sehnaz, Altinel Deniz
Department of Pathology, Izmir Tepecik Training and Research Hospital, Izmir, Turkey.
ScientificWorldJournal. 2010 Aug 3;10:1535-8. doi: 10.1100/tsw.2010.145.
Ureteritis cystica is a rare proliferative condition that is found predominantly in the bladder, renal pelvis, and upper ureter. It may occlude the ureteral lumen and should be considered in the reasons for an atrophic kidney. A 65-year-old-female with a 2-year history of right flank pain that increased in the last 2 months was presented. Abdominal ultrasonography revealed right-sided atrophic kidney. Nephroureterectomy was performed. On the gross examination, along the ureter wall, there were numerous polyps, 0.5 cm in maximum diameter, protruding into the lumen. On the histopathological evaluation, ureteritis cystica and chronic pyelonephritis was detected. In conclusion, ureteritis cystica is a benign and indolent lesion that needs to be kept in mind among the causes of renal atrophy.
囊性输尿管炎是一种罕见的增生性疾病,主要见于膀胱、肾盂和上段输尿管。它可能阻塞输尿管管腔,在肾萎缩的病因中应予以考虑。本文报道了一名65岁女性,有2年的右侧腰痛病史,近2个月加重。腹部超声检查显示右侧肾萎缩。遂行肾输尿管切除术。大体检查发现,沿输尿管壁有许多息肉,最大直径为0.5cm,突入管腔。组织病理学评估显示为囊性输尿管炎和慢性肾盂肾炎。总之,囊性输尿管炎是一种良性、进展缓慢的病变,在肾萎缩的病因中需要加以考虑。