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CASE REPORT |
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| Year : 2002 | Volume
: 19
| Issue : 1 | Page : 86-87 |
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Intravesical ureterocele masquerading as bladder tumor
Suresh Bhat, AS Muhammed Fassaludeen
Department of Urology, Medical College, Calicut, India
Correspondence Address:
Suresh Bhat
Department of Urology, Medical College, Calicut - 673 008
India
 Source of Support: None, Conflict of Interest: None  | Check |
Keywords: Ureterocele; Bladder Tumour
How to cite this article:
Bhat S, Muhammed Fassaludeen A S. Intravesical ureterocele masquerading as bladder tumor. Indian J Urol 2002;19:86-7 |
 Case Report | |  |
A 37-year-old male presented elsewhere with flank pain and an episode of haematuria; for which an ultrasonographic (US) examination was done. Ultrasonography revealed a papillary tumor in the region of the ureteric orifice [Figure - 1] and hence the referral. Because of the peculiar appearance of the tumor, US examination was repeated. As the bladder region was being scanned, "the tumor" started bulging into a ureterocele [Figure - 2] cystoscopy confirmed the diagnosis of ureterocele. The urothelium overlying the ureterocele was congested and oedematous. The patient was cured following an endoscopic incision.
| Comments | | |
Intravesical single system ureterocele usually presents in adults with flank pain, recurrent urinary tract infection (UTI) and haematuria. Sometimes they are detected serendipitously. Although most simple ureteroceles have obstructing pinpoint orifices, unobstructed ureteroceles do exist. The degree of obstruction is probably not significant in most adult cases and tends to be less severe than the obstruction seen in duplicated system in children. [1]
Ultrasonography is the first study obtained in the evaluation of these patients [2] and the ureterocele is seen as a cystic swelling in the posterior aspect of the bladder near the base. Occassionally, a ureterocele may be missed as when the bladder is overdistended leading to effacement of the ureterocele or when the bladder is empty causing the ureterocele to appear as bladder lumen. A cursory scan in a patient who is not well hydrated may lead to an erroneous diagnosis like in our patient.
| References | | |
| 1. | Sen S, Beasly SW, Ahmed S et al. Renal function and vesicoureteral reflux in children with ureteroceles. J Paediatr Surg 1992: 7: 192.  |
| 2. | Cremin BJ. A review of ultrasonic appearances of posterior urethral valve and ureterocele. Pediatr Radiol 1986; 16: 357. [PUBMED] |
[Figure - 1], [Figure - 2]
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