Recurrent flank pain caused by eosinophilic ureteritis mimicking urinary stone disease: a case report.
Flank pain is caused by a variety of pathologies of which urinary stone disease is the most frequent. Eosinophilic ureteritis is a rare stenosing condition of the ureter. Eosinophilic ureteritis can cause flank pain and/or unilateral hydronephrosis. On pathological examination it is characterised by a marked infiltration of the submucosal layers by eosinophils. A relationship of this condition with atopy, hypereosinophilic syndrome and prior ureteral trauma has been described. Surgical resection of the stenosing segment with end-to-end anastomosis is usually a successful treatment. In some cases of proximal disease total nephro-ureterectomy has been performed. One author describes remission of disease after a prolonged oral corticosteroid regimen. In this article we report another case of eosinophilic ureteritis and discuss different treatment strategies.
Sergeant
G
G
Urology department, General hospital AZ Groeninge, Kortrijk, Belgium. Gregory.Sergeant@student.kuleuven.ac.be
Slabbaert
K
K
Werbrouck
P
P
D000328:Adult; D003937:Diagnosis, Differential; D004802:Eosinophilia / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D004804:Eosinophils / Q000473:pathology; D021501:Flank Pain / Q000209:etiology*; D006801:Humans; D007249:Inflammation; D008297:Male; D012008:Recurrence; D014513:Ureter / Q000473:pathology; D014515:Ureteral Diseases / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D014545:Urinary Calculi / Q000175:diagnosis