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Duplicated left renal collecting system, with orthotopic intravesicular left ureterocele

stuart RS - MedPix (2007)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Duplicated left renal collecting system, with orthotopic intravesicular left ureterocele

History: 53 y/o Caucasian male presents with LUTS, specifically frequency and urgency over the last several months. Patient denies hematuria or dysuria. Patient also reports 30-pack year history of cigarette use.

Findings: A duplicated collecting system is present on the left side. Two ureters can be followed to the level of the mid pelvis. There is apparent fusion of the ureters, although the precise junction is not demonstrated. A single ureter is visualized below this point. The UVJ occurs in a normal position, however a ureterocele is demonstrated at this point. Within this ureterocele a 6mm calculus is present.

Ddx: Duplex kidney Bifid pelvis bifid ureter double ureter intravesicular ureterocele ectopic ureterocele

Dxhow: CT-IVP and cystoscopy

Exam: Patient complains of mild left-sided abdominal pain along with bilateral flank tenderness. UA Neg. Chem 7 wnl. PSA wnl.

No MeSH data available.


A duplicated collecting system is present on the left side. Two ureters can be followed to the level of the mid pelvis. There is apparent fusion of the ureters, although the precise junction is not demonstrated. A single ureter is visualized below this point. The UVJ occurs in a normal position, however a ureterocele is demonstrated at this point. Within this ureterocele a 6mm calculus is present.
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MPX1621_synpic33063: A duplicated collecting system is present on the left side. Two ureters can be followed to the level of the mid pelvis. There is apparent fusion of the ureters, although the precise junction is not demonstrated. A single ureter is visualized below this point. The UVJ occurs in a normal position, however a ureterocele is demonstrated at this point. Within this ureterocele a 6mm calculus is present.


Duplicated left renal collecting system, with orthotopic intravesicular left ureterocele

stuart RS - MedPix (2007)

A duplicated collecting system is present on the left side. Two ureters can be followed to the level of the mid pelvis. There is apparent fusion of the ureters, although the precise junction is not demonstrated. A single ureter is visualized below this point. The UVJ occurs in a normal position, however a ureterocele is demonstrated at this point. Within this ureterocele a 6mm calculus is present.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1621&req=5

MPX1621_synpic33063: A duplicated collecting system is present on the left side. Two ureters can be followed to the level of the mid pelvis. There is apparent fusion of the ureters, although the precise junction is not demonstrated. A single ureter is visualized below this point. The UVJ occurs in a normal position, however a ureterocele is demonstrated at this point. Within this ureterocele a 6mm calculus is present.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Duplicated left renal collecting system, with orthotopic intravesicular left ureterocele

History: 53 y/o Caucasian male presents with LUTS, specifically frequency and urgency over the last several months. Patient denies hematuria or dysuria. Patient also reports 30-pack year history of cigarette use.

Findings: A duplicated collecting system is present on the left side. Two ureters can be followed to the level of the mid pelvis. There is apparent fusion of the ureters, although the precise junction is not demonstrated. A single ureter is visualized below this point. The UVJ occurs in a normal position, however a ureterocele is demonstrated at this point. Within this ureterocele a 6mm calculus is present.

Ddx: Duplex kidney Bifid pelvis bifid ureter double ureter intravesicular ureterocele ectopic ureterocele

Dxhow: CT-IVP and cystoscopy

Exam: Patient complains of mild left-sided abdominal pain along with bilateral flank tenderness. UA Neg. Chem 7 wnl. PSA wnl.

No MeSH data available.