J Korean Soc Radiol.  2016 Oct;75(4):327-331. 10.3348/jksr.2016.75.4.327.

Periureteral Varices with Accompanying Pyelitis Diagnosed by 3-Dimensional Reformatted Technique of the Multidetector Row CT: A Case Report

• Yi JH

• KMID: 2353686
• DOI: http://doi.org/10.3348/jksr.2016.75.4.327

Abstract

Periureteral varices are rare, and periureteral varices with accompanying pyelitis have been even more rarely reported. Our patient with flank pain was diagnosed with pyelitis because her CT scan showed thickening and enhancement of the ipsilateral renal pelvic wall and her clinical manifestations and laboratory results were well correlated with the diagnosis. Moreover, the author diagnosed periureteral varices because periureteral, tortuous, enhancing vascular structures were detected and 3-dimensional rendering technique of the CT scan showed that periureteral varices were connected to the ipsilateral renal vein. We experienced a case of periureteral varices with accompanying pyelitis, which was definitely confirmed by using the 3-dimensional rendering technique of the CT scan. Therefore, we report the case along with a brief review of the literatures regarding periureteral varices.

MeSH Terms

Diagnosis
Flank Pain
Humans
Imaging, Three-Dimensional
Multidetector Computed Tomography
Pyelitis*
Renal Veins
Tomography, X-Ray Computed
Ureter
Varicose Veins*

Figure

• 

  Fig. 1 Periureteral varices in a 70-year-old woman. A, B. Corticomedullary phase sagittal CT scan (A) and multiplanar curved reformatted image (B) reveal tortuous, tubular venous structures (arrows) along the left ureter. Mild thickening with enhancement of the left renal pelvic wall suggesting pyelitis is noted (red arrows). C. Maximum intensity projection image shows periureteral varices connected to the Lt. renal vein (arrows). D. Volume rendering image demonstrates periureteral varices (arrows).

Reference

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