EURORAD ESR

Case 15230

Fibroepithelial polyp of the ureter prolapsing into the bladder.

Author(s)
Alvarez de Eulate García M.T, Sánchez Ronco M.A, Casadiego Matarranz L, Lara Pérez F, Calvo González R, García Lagarto, E.

Hospital Clinico Universitario Valladolid; Montero Calvo 4-6 2ºA 47001 Valladolid, Spain; Email:teresaeulate@hotmail.com
 
Patient
female, 46 year(s)
 
 
  • Figure 1
    Uro CT
     

    Coronal enhanced CT image (nephrographic phase) shows a corkscrew configuration contrast enhanced mass (red arrow) within the distal right ureter extending into the urinary bladder.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;

    Axial enhanced CT image (nephrographic phase). Polyp within the distal right ureter extending into the urinary bladder (red arrow).

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;

    Axial excretory phase CT examination: filling defect including the distal part of the right ureter and reaching the bladder.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;

    Smooth filling defect can be observed in the distal ureter cavity (red arrow).

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;
     
     
  • Figure 2
    Cysto Ureteroscopy

    Cysto Ureteroscopy. Polypoid mass with smooth surface, arising from the right ureter.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Percutaneous; Procedure: Endoscopy; Special Focus: Neoplasia;
     
     
  • Figure 3
    Gross specimen

    Gross specimen of the resected polyp via uteroscopy

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Image manipulation / Reconstruction; Procedure: Endoscopy; Special Focus: Neoplasia;
     
     
  • Figure 4
    Histopathological examination of the polypoid fragments
     

    H-E (100 X). Microscopic view of the fibroepithelial polyp without atypia and oedematous lamina propria with chronic inflammation

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Image manipulation / Reconstruction; Procedure: Biopsy; Special Focus: Neoplasia;

    H-E (400 X) Normal Urothelium without evidence of dysplasia

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Image manipulation / Reconstruction; Procedure: Biopsy; Special Focus: Pathology;
     
     
Coronal enhanced CT image (nephrographic phase) shows a corkscrew configuration contrast enhanced mass (red arrow) within the distal right ureter extending into the urinary bladder.
 
Axial enhanced CT image (nephrographic phase). Polyp within the distal right ureter extending into the urinary bladder (red arrow).
 
Axial excretory phase CT examination: filling defect including the distal part of the right ureter and reaching the bladder.
 
Smooth filling defect can be observed in the distal ureter cavity (red arrow).
 
Cysto Ureteroscopy. Polypoid mass with smooth surface, arising from the right ureter.
 
Gross specimen of the resected polyp via uteroscopy
 
H-E (100 X). Microscopic view of the fibroepithelial polyp without atypia and oedematous lamina propria with chronic inflammation
 
H-E (400 X) Normal Urothelium without evidence of dysplasia
 
 
 
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