Ureteritis Cystica その1例と文献的考察

Abstract

A case of bilateral ureteritis cystira associated with left renal and ureteral stone is presented. The c1inir:al feature and treatment are briefly reviewed and the etiologic possibilities are discussed. Little attention has been paid to this condition in Japan, and no examples have been previously recorded. The patient was a married woman aged 61 years who complained of dull pain in the left loin of 4 years duration and recurrent attacks of renal colic associated with high fever, shivering, nausea and vomiting 2 months prior to the admission. She had had no gross hematuria. Physical examination revealed hypertension. Urography delineated numerous sharply demarcated round filling defect in both ureters. Two concrements in left ureter and a stone in left kidney with moderate hydronephrosis were also found. The renal function was fairly deteriorated. The stones in the ureter passed spontaneously and the stone in the kidney moved downwards into the ureter before operation. Left ureterolithotomy and biopsy of the ureter was performed. Microscopic examination confirmed the preoperative diagnosis made on urography.