eMedicine Specialties > Radiology > Genitourinary

Ureterocele: Multimedia

Author: Ganesh Raj, MD, PhD, Staff Physician, Department of Surgery, Division of Urology, Duke University Medical Center
Coauthor(s): John S Wiener, MD, FACS, FAAP, Chief, Division of Urology, Professor, Department of Surgery, Division of Urology, Professor, Department of Pediatrics, University of Mississippi Medical Center; Richard A Leder, MD, Department of Radiology, Associate Clinical Professor, Division of Abdominal Imaging, Duke University School of Medicine
Contributor Information and Disclosures

Updated: Sep 21, 2007

Multimedia

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Media file 1: Transverse sonogram of the pelvis depicts the bladder with a ureterocele. The cyst within a cyst is a pathognomonic radiologic sign of ureterocele.

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Transverse sonogram of the pelvis depicts the bladder with a ureterocele. The cyst within a cyst is a pathognomonic radiologic sign of ureterocele.

(Enlarge Image)

Media file 2: Transverse sonogram of the pelvis depicts the bladder with a submucosal ureterocele.

[ CLOSE WINDOW ]

Transverse sonogram of the pelvis depicts the bladder with a submucosal ureterocele.

(Enlarge Image)

Media file 3: Transverse sonogram of the pelvis depicts the bladder with ureterocele. The cyst within a cyst is a pathognomonic radiologic sign of a ureterocele.

[ CLOSE WINDOW ]

Transverse sonogram of the pelvis depicts the bladder with ureterocele. The cyst within a cyst is a pathognomonic radiologic sign of a ureterocele.

(Enlarge Image)

Media file 4: Longitudinal sonogram of the pelvis depicts the submucosal course of the dilated ureter within the bladder.

[ CLOSE WINDOW ]

Longitudinal sonogram of the pelvis depicts the submucosal course of the dilated ureter within the bladder.

(Enlarge Image)

Media file 5: Longitudinal sonogram of the pelvis depicts the submucosal course of the dilated ureter within the bladder.

[ CLOSE WINDOW ]

Longitudinal sonogram of the pelvis depicts the submucosal course of the dilated ureter within the bladder.

(Enlarge Image)

Media file 6: Longitudinal sonogram of the pelvis depicts the submucosal course of the dilated ureter within the bladder. The dilated ureter ends in the ureterocele.

[ CLOSE WINDOW ]

Longitudinal sonogram of the pelvis depicts the submucosal course of the dilated ureter within the bladder. The dilated ureter ends in the ureterocele.

(Enlarge Image)

Media file 7: Voiding cystourethrogram during the early filling phase. The ureterocele has prolapsed into the urethra, creating a functional bladder outlet obstruction.

[ CLOSE WINDOW ]

Voiding cystourethrogram during the early filling phase. The ureterocele has prolapsed into the urethra, creating a functional bladder outlet obstruction.

(Enlarge Image)

Media file 8: Intravenous urogram shows the bladder filled with contrast material and the dilated left ureter inserting into the bladder. The rim of radiolucency surrounding the insertion of the left ureter into the bladder is diagnostic of a ureterocele. This is called the cobra-head deformity.

[ CLOSE WINDOW ]

Intravenous urogram shows the bladder filled with contrast material and the dilated left ureter inserting into the bladder. The rim of radiolucency surrounding the insertion of the left ureter into the bladder is diagnostic of a ureterocele. This is called the cobra-head deformity.

(Enlarge Image)

Media file 9: Intravenous urogram shows the bladder filled with contrast material and duplicated ureters inserting into the bladder. The rim of radiolucency surrounding the insertion of the left ureter into the bladder is diagnostic of ureterocele. This also is called the cobra-head deformity.

[ CLOSE WINDOW ]

Intravenous urogram shows the bladder filled with contrast material and duplicated ureters inserting into the bladder. The rim of radiolucency surrounding the insertion of the left ureter into the bladder is diagnostic of ureterocele. This also is called the cobra-head deformity.

(Enlarge Image)

Media file 10: Intravenous urogram shows the inferiorly displaced left lower-pole moiety associated with the ureterocele.

[ CLOSE WINDOW ]

Intravenous urogram shows the inferiorly displaced left lower-pole moiety associated with the ureterocele.

(Enlarge Image)

Media file 11: Scout CT scan shows a right ureterocele within the bladder. The lucency on the left represents a Foley catheter.

[ CLOSE WINDOW ]

Scout CT scan shows a right ureterocele within the bladder. The lucency on the left represents a Foley catheter.

(Enlarge Image)

Media file 12: Early cross-sectional CT scan shows a right ureterocele within the bladder. The lucency on the left represents a Foley catheter.

[ CLOSE WINDOW ]

Early cross-sectional CT scan shows a right ureterocele within the bladder. The lucency on the left represents a Foley catheter.

(Enlarge Image)

Media file 13: Delayed axial CT scan shows a right ureterocele within the bladder with contrast material filling the ureterocele. The lucency on the left represents a Foley catheter.

[ CLOSE WINDOW ]

Delayed axial CT scan shows a right ureterocele within the bladder with contrast material filling the ureterocele. The lucency on the left represents a Foley catheter.

(Enlarge Image)

Media file 14: Delayed CT scan obtained after the administration of contrast material shows bilateral ureteroceles filled with contrast agent within the bladder.

[ CLOSE WINDOW ]

Delayed CT scan obtained after the administration of contrast material shows bilateral ureteroceles filled with contrast agent within the bladder.

More on Ureterocele

Overview: Ureterocele

Imaging: Ureterocele

Follow-up: Ureterocele

Multimedia: Ureterocele

References

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References

Merlini E, Lelli Chiesa P. Obstructive ureterocele-an ongoing challenge. World J Urol. Jun 2004;22(2):107-14. [Medline].
Belman AB, King LR, Kramer SA. Ureteral duplication anomalies: ectopic ureters and ureteroceles. Clin Pediatr Urol. 2002;677-735.
Schlussel RN, Retik AB. Anomalies of the ureter. In: Campbell's Urology. 1998;1814-59.
do Nascimento H, Hachul M, Macedo A Jr. Magnetic resonance in diagnosis of ureterocele. Int Braz J Urol. May-Jun 2003;29(3):248-50. [Medline].
Bader I, Akhter N, Anwar-ul-Haq, Choudhary A, Khan NU. Ectopic ureters misdiagnosed as ureterocele. J Coll Physicians Surg Pak. Jan 2004;14(1):50-2. [Medline].
Snow BW. Evolution of endoscopic management of ectopic ureterocele: a new approach. Int Braz J Urol. May-Jun 2007;33(3):452. [Medline].
Zougkas K, Kalafatis P, Ioannidis S, Katsikas V, Radopoulos D. Assessment of obstruction in adult ureterocele by means of color Doppler duplex sonography. Urol Int. 2005;75(3):239-46. [Medline].

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Keywords

intravesical, extravesical, submucosal cystic dilation of the terminal segment of the ureter, simple ureteroceles, orthotopic ureteroceles, ectopic ureteroceles, stenotic ureteroceles, sphincteric stenotic ureteroceles, cecoureteroceles

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Contributor Information and Disclosures

Author

Ganesh Raj, MD, PhD, Staff Physician, Department of Surgery, Division of Urology, Duke University Medical Center
Ganesh Raj, MD, PhD is a member of the following medical societies: American Urological Association
Disclosure: Nothing to disclose.

Coauthor(s)

John S Wiener, MD, FACS, FAAP, Chief, Division of Urology, Professor, Department of Surgery, Division of Urology, Professor, Department of Pediatrics, University of Mississippi Medical Center
John S Wiener, MD, FACS, FAAP is a member of the following medical societies: American Academy of Pediatrics, American College of Surgeons, American Medical Association, American Urological Association, Society for Fetal Urology, and Society for Pediatric Urology
Disclosure: Nothing to disclose.

Richard A Leder, MD, Department of Radiology, Associate Clinical Professor, Division of Abdominal Imaging, Duke University School of Medicine
Richard A Leder, MD is a member of the following medical societies: American Roentgen Ray Society, American Urological Association, Radiological Society of North America, and Society of Uroradiology
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

Joshua A Becker, MD, Professor, Department of Radiology, New York University School of Medicine
Joshua A Becker, MD is a member of the following medical societies: Society of Uroradiology
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Eugene C Lin, MD, Consulting Staff, Department of Radiology, Virginia Mason Medical Center
Eugene C Lin, MD is a member of the following medical societies: American College of Nuclear Medicine, American College of Radiology, Radiological Society of North America, and Society of Nuclear Medicine
Disclosure: Nothing to disclose.

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eMedicine Specialties > Radiology > Genitourinary

Ureterocele: Multimedia

Multimedia

Transverse sonogram of the pelvis depicts the bladder with a ureterocele. The cyst within a cyst is a pathognomonic radiologic sign of ureterocele.

Transverse sonogram of the pelvis depicts the bladder with a submucosal ureterocele.

Transverse sonogram of the pelvis depicts the bladder with ureterocele. The cyst within a cyst is a pathognomonic radiologic sign of a ureterocele.

Longitudinal sonogram of the pelvis depicts the submucosal course of the dilated ureter within the bladder.

Longitudinal sonogram of the pelvis depicts the submucosal course of the dilated ureter within the bladder.

Longitudinal sonogram of the pelvis depicts the submucosal course of the dilated ureter within the bladder. The dilated ureter ends in the ureterocele.

Voiding cystourethrogram during the early filling phase. The ureterocele has prolapsed into the urethra, creating a functional bladder outlet obstruction.

Intravenous urogram shows the bladder filled with contrast material and the dilated left ureter inserting into the bladder. The rim of radiolucency surrounding the insertion of the left ureter into the bladder is diagnostic of a ureterocele. This is called the cobra-head deformity.

Intravenous urogram shows the bladder filled with contrast material and duplicated ureters inserting into the bladder. The rim of radiolucency surrounding the insertion of the left ureter into the bladder is diagnostic of ureterocele. This also is called the cobra-head deformity.

Intravenous urogram shows the inferiorly displaced left lower-pole moiety associated with the ureterocele.

Scout CT scan shows a right ureterocele within the bladder. The lucency on the left represents a Foley catheter.

Early cross-sectional CT scan shows a right ureterocele within the bladder. The lucency on the left represents a Foley catheter.

Delayed axial CT scan shows a right ureterocele within the bladder with contrast material filling the ureterocele. The lucency on the left represents a Foley catheter.

Delayed CT scan obtained after the administration of contrast material shows bilateral ureteroceles filled with contrast agent within the bladder.

More on Ureterocele

References

Further Reading

Keywords

Contributor Information and Disclosures

Author

Coauthor(s)

Pharmacy Editor

Managing Editor

CME Editor

Chief Editor