Orthotopic ureterocele masquerading as a bladder tumor in a woman with pelvic pain.
Single system orthotopic ureteroceles often present in adulthood are associated with characteristic radiographic findings. We present the case of a 54 year old woman with 8 months of urgency/frequency and pelvic pain that has the cystoscopic appearance of a bladder tumor. Cystoscopic images, radiographs and intraoperative photos demonstrate the work-up, evaluation, and treatment of this unique single system orthotopic ureterocele containing a calculus. This patient demonstrates the need for cystoscopy accompanied by upper tract imaging in patients with new onset pelvic pain, urgency/frequency, and frequent urinary tract infections.
Thiel
David D
DD
Department of Urology, Mayo Clinic Jacksonville, Florida 32224, USA. thiel.david@mayo.edu
Petrou
Steven P
SP
Broderick
Gregory A
GA
D003558:Cystoscopy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008875:Middle Aged; D017699:Pelvic Pain / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D014518:Ureterocele / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000175:diagnosis*