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Indian Journal of Surgery
Medknow Publications on behalf of Association of Surgeons of India
ISSN: 0972-2068
Vol. 67, No. 4, 2005, pp. 210-212
Bioline Code: is05064
Full paper language: English
Document type: Research Article
Document available free of charge

Indian Journal of Surgery, Vol. 67, No. 4, 2005, pp. 210-212

 en An unusual case of obstructive uropathy: Cystitis cystica with ureteritis cystica
Zaharani, AhmedBakheet, Soundra Pandyan GV

Abstract

A 45-year-old man presented with loin pain and burning micturation. He had a positive Bilharzial titre and impaired renal function. Ultrasonography (USG) revealed right hydroureteronephrosis and a thickened bladder wall with areas of calcification. A diuretic 99mTc - DTPA scan (technetium-99m diethylene triamine penta acetic acid) showed features of obstruction in both the kidneys. Cystoscopy showed polypoid transparent cystic lesions obscuring both the ureters. The obstruction was relived by percutaneous nephrostomy (PCN). Nephrostogram showed multiple scalloped filling defects in the right ureter with obstruction at the uretero vesical junction (UVJ), suspicious of ureteritis cystica (UC). Biopsy of the lesions showed features of Bilharzial proliferative cystitis with extensive cystitis glandularis and cystitis cystica (CC). Complete cure was achieved by semi-interventional methods and prompt treatment of the underlying infection. Diagnosis, management, and progression of this case with review of literature are discussed.

Keywords
Cystitis cystica, Obstructive uropathy, Ureteritis cystica

 
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