Indian Journal of Urology
: 2002  |  Volume : 19  |  Issue : 1  |  Page : 86--87

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

How to cite this article:
Bhat S, Muhammed Fassaludeen A S. Intravesical ureterocele masquerading as bladder tumor.Indian J Urol 2002;19:86-87

How to cite this URL:
Bhat S, Muhammed Fassaludeen A S. Intravesical ureterocele masquerading as bladder tumor. Indian J Urol [serial online] 2002 [cited 2021 Jun 24 ];19:86-87
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 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.


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.


1Sen S, Beasly SW, Ahmed S et al. Renal function and vesicoureteral reflux in children with ureteroceles. J Paediatr Surg 1992: 7: 192.
2Cremin BJ. A review of ultrasonic appearances of posterior urethral valve and ureterocele. Pediatr Radiol 1986; 16: 357.