[A case of ureteritis with a course of rapidly progressing stricture].
Rapidly progressing stricture of the ureter with non-specific ureteritis is very rare and neither pathogenesis nor reliable treatment is known. We report a case of ureteritis in a 51-year-old woman with a stricture rapidly progressing over a course of 2 months. She was sent to us for left hydronephrosis. Retrograde pyelography (RP) revealed a 5 cm stricture in the left ureter. CT showed no abnormal mass in the retroperitoneum. Gastro-intestinal and gynecological inspection revealed no abnormalities. As a second RP showed 9 cm stricture 2 months later, we performed a biopsy of the ureter and examined it pathologically. There was no evidence of malignancy, but we performed a left nephroureterectomy, because of the stricture in the entire left ureter. Pathological study of the kidney and the ureter showed a non-specific inflammation of the entire urothelium without malignancy. There has been no recurrence in the right ureter.
Sano
K
K
Department of Urology, Hamaoka Municipal Hospital.
Kitajima
N
N
D003251:Constriction, Pathologic / Q000473:pathology; D005260:Female; D006801:Humans; D007249:Inflammation / Q000473:pathology; D008875:Middle Aged; D014515:Ureteral Diseases / Q000000981:diagnostic imaging / Q000473:pathology*; D014567:Urography