Department of Radiology
University of Wisconsin School of Medicine and Public Health

Case: 258

Uroterocele In Duplicated System With Impacted Stone

Show  

History: 54 yo female with intermittent right sided flank pain.
Solution: The patient has an obvious duplicated right sided collecting system. She also has a relatively obvious ectopic insertion of the superior pole collecting system with an associated ureterocele. In addition, there is a filling defect in the ureterocele that is seen as a large calcification on the scout image. This was an impacted stone.

Radiograph Images

Questions

Complications of this pathology include all of the following EXCEPT:
  • Vesicoureteral reflux
  • Ectopic ureterocele
  • UPJ obstruction
  • Bladder outlet obstruction
  • Renal scarring
The findings in this patient follow the "Weigert-Meyer" rule.
True
Please provide the diagnosis that most likely explains the patients symptoms.
Although the patient does have a duplicated system and associated ureterocele. The issue that is likely giving her pain is the stone that is within the ureterocele, which is likely causing intermittent obstruction.