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Fibroepithelial ureteric polyps

Department of Radiology, John Dempsey Hospital, University of Connecticut Health Center, Farmington, Connecticut 06032, USA

G. Klauber, M.B., F.R.C.S.(C)

Department of Surgery (Pediatrics), John Dempsey Hospital, University of Connecticut Health Center, Farmington, Connecticut 06032, USA

This excerpt was created in the absence of an abstract.

Benign polyps of the ureter are rare. Most frequently they are composed of fibroepithelial tissue. They may present radiologically as ureteric obstructions, most commonly at the uretero-pelvic junction, or may be seen incidentally as smooth filling defects in the ureter on contrast examination.

A 15-year-old white male presented with left abdominal pain and a feeling of pressure in the left flank area. He had no relevant previous history.

On examination the left kidney was palpably enlarged. Urinalysis revealed 1 + protein, 100–150 red blood cells per high powered field and calcium oxalate crystals. The serum creatinine was 0.8% and corrected creatinine clearance was 97 ml per minute.

Intravenous urography suggested left uretero-pelvic junction obstruction. This was confirmed by a frusemide urogram. The ureter distal to the uretero-pelvic junction obstruction was poorly visualized due to low flow of contrast. Neither antegrade nor retrograde pyelography was performed.

Received for publication February 1, 1979.