Fibroepithelial ureteral polyps presenting as ureteropelvic obstruction.
A 57-year-old woman presented with bilateral abdominal pain and flank discomfort. Imaging studies, consisting of CT scan, diethylene triamine pentaacetic acid renal scan with Lasix and a retrograde pyelogram, indicated an obstruction at the uteropelvic junction (UPJ), possibly due to fibroepithelial polyps within the ureter. A robotic pyeloplasty revealed a ureteral diverticulum and a thin, still-attached fibroepithelial polyp of approximately 2 cm in length. The patient tolerated the procedure well and was discharged one day postpyeloplasty with no reported complications. This rare clinical scenario should be considered when formulating a diagnosis for a UPJ obstruction.
Department of Urology, Hartford Hospital, Hartford, Connecticut, USA.
Antonio
A
Cusano
Fernando
F
Abarzua-Cabezas
Stuart
S
Kesler
D004240:Diverticulum / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D005665:Furosemide; D006801:Humans; D007682:Kidney Pelvis / Q000000981:diagnostic imaging*; D008875:Middle Aged; D004369:Pentetic Acid; D011127:Polyps / Q000000981:diagnostic imaging* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014513:Ureter / Q000000981:diagnostic imaging; D014516:Ureteral Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery; D014517:Ureteral Obstruction / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery
D004369:Pentetic Acid; D005665:Furosemide