María R. Ramírez-Solorio, Servicio de Urología, Hospital Regional 1.º de Octubre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Ciudad de México, México
Sandra X. Cruz-Ordóñez, Servicio de Urología, Hospital Azura Centro. Ciudad de México, México
José A. Aguilar-Villavicencio, Servicio de Urología, Hospital Regional 1.º de Octubre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado; Servicio de Urología, Hospital Azura Centro. Ciudad de México, México
Fausto A. García-Trejo, Servicio de Urología, Hospital Azura Centro. Ciudad de México, México
Cystic ureteritis was first reported by Morgagni in the 18th century. The first to describe it were Richmond and Robb, as a flourishing characterized by multiple cysts and filing defects in the urothelium. Radiographically, the appearance is that of small multiple cysts of 2 to 5 mm, smooth, walled, rounded and transparent obturation defects that project into the lumen of the ureter. Is a rare benign condition that affects the ureter and renal pelvis. Characteristics that occur in the patient that we show in this clinical case. A 73-year-old woman with a history of diabetes mellitus, systemic arterial hypertension and heart failure. She was admitted due to recurrent urinary tract infection. When performing the diagnostic approach, right renal lithiasis and HUANG II emphysematous pyelonephritis were evidenced, placing a right double J catheter and parenteral antibiotic. When the urinary lithiasis was resolved, the presence of cystic ureteritis in the middle and upper third of the right ureter was evident. Cystic ureteritis is usually very rare, being diagnosed incidentally while searching for another pathology. It has been hypothesized that the cause is the chronic inflammatory response secondary to a recurrent recurrence of the ureteral mucosa, as may be the case of the patient under study.
Keywords: Ureteritis. Infection. Lithiasis.