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Imaging of ureter: a primer for the emergency radiologist

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Abstract

In this review article, we will discuss the gamut of abnormalities involving the ureters. In the emergency department, ureterolithiasis is the most common indication for imaging abdomen and pelvis. However, spectrum of ureteral abnormalities including congenital, infectious and inflammatory, primary and secondary ureteral malignancies, retroperitoneal fibrosis rare described in this article may be encountered. Thus, we will describe acute subacute as well as chronic conditions that may affect ureter. Knowledge of common, as well as rare entities and their imaging features, is of utmost importance to enable appropriate management.

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References

  1. Moosavi B, Fasih N, Virmani V, Kielar A (2016) Beyond ureterolithiasis: gamut of abnormalities affecting the ureter. Clin Imaging. 40(4):678–90. https://doi.org/10.1016/j.clinimag.2016.01.003

    Article  PubMed  Google Scholar 

  2. Townsend B, Silverman S, Mortele K, Tuncali K, Cohan R. Current practice of CT urography by uroradiologists: a survey of the Society of Uroradiology. J Comput Assist Tomogr (in press).

  3. Rouprêt M, Babjuk M, Compérat E, Zigeuner R, Sylvester R, Burger M et al (2013) European guidelines on upper tract urothelial carcinomas: 2013 update. Eur Urol 63(6):1059–1071

    Article  PubMed  Google Scholar 

  4. Alabousi A, Patlas MN, Menias CO et al (2017) Multi-modality imaging of the leaking ureter: why does detection of traumatic and iatrogenic ureteral injuries remain a challenge? Emerg Radiol 24:417–422

    Article  PubMed  Google Scholar 

  5. Pereira BMT, Ogilvie MP, Gomez-Rodriguez JC et al (2010) A review of ureteral injuries after external trauma. Scand. J. Trauma. Resusc. Emerg, Med

    Book  Google Scholar 

  6. Karlo CA, Gnannt R, Winklehner A et al (2013) Split-bolus dual-energy CT urography: protocol optimization and diagnostic performance for the detection of urinary stones. Abdom Imaging 38:1136–1143

    Article  PubMed  Google Scholar 

  7. Yeo YJ, Kim SH, Kim MJ, Kim YH, Cho SH, Lee EJ (2015) Diagnostic efficiency of split-bolus dual-energy computed tomography for patients with suspected urinary stones. J Comput Assist Tomogr 39:25–31

    Article  PubMed  Google Scholar 

  8. Gandrup KL, Logager VB, Bretlau T, Nordling J, Thomsen HS (2015) Diagnosis of bladder tumours in patients with macroscopic haematuria: a prospective comparison of split-bolus computed tomography urography, magnetic resonance urography and flexible cystoscopy. Scand J Urol 49:224–229

    Article  PubMed  Google Scholar 

  9. Silverman SG, Leyendecker JR, Amis ES (2009) What is the current role of CT urography and MR urography in the evaluation of the urinary tract? Radiology 250(2):309–323

    Article  PubMed  Google Scholar 

  10. Ramamurthy NK, Moosavi B, McInnes MD, Flood TA, Schieda N (2015) Multiparametric MRI of solid renal masses: pearls and pitfalls. Clin Radiol 70(3):304–316

    Article  CAS  PubMed  Google Scholar 

  11. Chiro GD, Brooks RA, Kessler RM et al (1979) Tissue signatures with dual-energy computed tomography. Radiology 131(2):521–523

    Article  CAS  PubMed  Google Scholar 

  12. Grajo JR, Patino M, Prochowski A, Sahani DV (2016) Dual energy CT in practice: Basic principles and applications. Appl Radiol 45(7):6–12

    Article  Google Scholar 

  13. Kulkarni NM, Eisner BH, Pinho DF et al (2013) Determination of renal stone composition in phantom and patients using single-source dual-energy computed tomography. J Comput Assist Tomogr 37:37–45

    Article  PubMed  Google Scholar 

  14. Nordmark B (1948) Double formations of the pelvises of the kidneys and the ureters: embryology, occurrence and clinical significance. Acta Radiol 30:276–278

    Article  Google Scholar 

  15. Privett JTJ, Jeans WD, Roylance J (1976) The incidence and importance of renal duplication. Clin Radiol 27:521–530

    Article  CAS  PubMed  Google Scholar 

  16. Whitten SM, Wilcox DT (2001) Duplex systems. Prenat Diagn 21(11):952–957

    Article  CAS  PubMed  Google Scholar 

  17. Wein AJ, Kavoussi LR, Campbell MF, Walsh PC (2012) CampbellWalsh urology, 10th edn. Elsevier Saunders, Philadelphia, Pa

    Google Scholar 

  18. Williams H (2007) Renal revision: from lobulation to duplication—what is normal? Arch Dis Child Educ Pract Ed 92(5):ep152–ep158

    Article  PubMed  Google Scholar 

  19. Kaplan N, Elkin M (1968) Bifid renal pelves and ureter: radiographic and cinefluorographic observations. BrJ Urol 40:235–244

    Article  CAS  Google Scholar 

  20. Ossandon F, Androulakakis P, Ransley PG (1981) Surgical problems in pelvicoureteral junction obstruction of the lower moiety in incomplete duplex systems. J Urol 125:871–872

    Article  CAS  PubMed  Google Scholar 

  21. Amis ES, Cronan JJ, Pfister RC (1985) Lower moiety hydronephrosis in duplicated kidneys. Urology 26:82–88

    Article  PubMed  Google Scholar 

  22. Fernbach SK, Feinstein KA, Spencer K, Lindstrom CA (1997) Ureteral duplication and its complications. Radiographics 17:109–127

    Article  CAS  PubMed  Google Scholar 

  23. Berrocal T, López-Pereira P, Arjonilla A, Gutiérrez J (2002) Anomalies of the distal ureter, bladder, and urethra in children: embryologic, radiologic, and pathologic features. Radiographics 22(5):1139–1164

    Article  PubMed  Google Scholar 

  24. Merguerian PA, Taenzer A, Knoerlein K, McQuiston L, Herz D (2010) Variation in management of duplex system intravesical ureteroceles: a survey of pediatric urologists. J Urol 184(suppl 4):1625–1630

    Article  PubMed  Google Scholar 

  25. Ichikawa I, Kuwayama F, Pope JC 4th, Stephens FD, Miyazaki Y (2002) Paradigm shift from classic anatomic theories to contemporary cell biological views of CAKUT. Kidney Int 61:889–898

    Article  PubMed  Google Scholar 

  26. Callahan MJ (2001) The drooping lily sign. Radiology 219:226–228

    Article  CAS  PubMed  Google Scholar 

  27. Kavanagh A, McAuley I, Longpre M, Macneily AE (2010) Atrophic upper pole of a duplex collecting system masquerading as suprarenal mass: a case study and literature review. Can Urol Assoc J 4:E94–E96

    Article  PubMed  PubMed Central  Google Scholar 

  28. Dudek-Warchoł T, Szmigielska A, Krzemien G, Warchoł S (2014) Ectopic ureter, renal dysplasia, and recurrent epididymitis in an infant: case report and review of the literature. Clin Case Rep 2:7–9

    Article  PubMed  PubMed Central  Google Scholar 

  29. Lawler LP, Jarret TW, Corl FM, Fishman EK (2005) Adult ureteropelvic junction obstruction: insights with threedimensional multi-detector row CT. Radiographics 25:121–134

    Article  PubMed  Google Scholar 

  30. McNab A, Williams C (2014) Perioperative anuria resulting in the diagnosis of infrasphincteric ectopic ureter in an adult female. Urol Case Rep 2:121–122

    Article  PubMed  PubMed Central  Google Scholar 

  31. Roy Choudhury S, Chadha R, Bagga D, Puri A, Debnath PR (2008) Spectrum of ectopic ureters in children. Pediatr Surg Int 24:819–823

    Article  PubMed  Google Scholar 

  32. Wakhlu A, Dalela D, Tandon RK, Chandra H, Wakhlu AK (1998) The single ectopic ureter. Br J Urol 82:246–251

    Article  CAS  PubMed  Google Scholar 

  33. El-Ghar MA, El-Diasty T (2013) Ectopic insertion of the ureter into the seminal vesicle. World J Radiol 5:349–351

    Article  PubMed  PubMed Central  Google Scholar 

  34. Demir M, Ҫiftҫi H, Kiliҫarslan N, Gümüs K, Oğur M, Gülüm M, Yeni E (2015) A case of an ectopic ureter with vaginal insertion diagnosed in adulthood. Turk J Urol 41:53–55

    Article  PubMed  Google Scholar 

  35. Carrico C, Lebowitz RL (1998) Incontinence due to an infrasphincteric ectopic ureter: Why the delay in diagnosis and what the radiologist can do about it. Pediatr Radiol 28:942–949

    Article  CAS  PubMed  Google Scholar 

  36. Shokeir AA, Nijman RJ (2002) Ureterocele: an ongoing challenge in infancy and childhood. BJU Int 90(8):777–783

    Article  CAS  PubMed  Google Scholar 

  37. Cooper CS, Snyder HM 3rd (2002) Ureteral anomalies: the ureter. In: Gillenwater JY, Grayhack JT, Howards SS, Mitchell ME (eds) Adult and Pediatric Urology. Lippincott Williams & Wilkins, Philadelphia, pp 2162–2176

    Google Scholar 

  38. Tekgül S, Riedmiller H, Hoebeke P, Kočvara R, Nijman RJ, Radmayr C, et al. (2012) EAU guidelines on vesicoureteral reflux in children. Eur Urol 62(3):534–42

  39. Castagnetti M, El-Ghoneimi A (2009) Management of duplex system ureteroceles in neonates and infants. Nat Rev Urol 6:307–315

    Article  PubMed  Google Scholar 

  40. Hagg MJ, Mourachov PV, Snyder HM, Canning DA, Kennedy WA, Zderic SA, Duckett JW (2000) The modern endoscopic approach to ureterocele. J Urol 163(3):940–3

  41. Shah HN, Sodha H, Khandkar AA, Kharodawala S, Hedge SS, Bansal M (2008) Endoscopic management of adult orthotopic ureterocele and associated calculi with holmium laser: experience with 16 patients over 4 years and review of literature. J Endourol 22:489–496

    Article  PubMed  Google Scholar 

  42. Mizuno K, Kamisawa H, Hamamoto S, Okamura T, Kohri K (2008) Bilateral single-system ureteroceles with multiple calculi in an adult woman. Urology 72(294–295):27

    Google Scholar 

  43. Anderson CB, Tanaka ST, Pope JC 4th, Adams MC, Brock JW 3rd, Thomas JC (2011)Acute pain crisis as a presentation of primary megaureter in children. J Pediatr Urol

  44. DVS Ramakrishna Prasad, Srinivas S (2016) A study of primary megaureter – our experience. IAIM 3(9): 177–181.

  45. Gimpel C, Masioniene L, Djakovic N et al (2010) Complications and long-term outcome of primary obstructive megaureter in childhood. Pediatr Nephrol 25:1679–1686

    Article  PubMed  Google Scholar 

  46. Hemal AK, Ansari MS, Doddamani D, Gupta NP (2003) Symptomatic and complicated adult and adolescent primary obstructive megaureter–indications for surgery: analysis, outcome, and follow-up. Urology 61:703–707; discussion, 707

  47. Renjen P, Bellah R, Hellinger JC, Darge K (2010) Pediatric urologic advanced imaging: techniques and applications. Urol Clin North Am 37(2):307–318

    Article  PubMed  Google Scholar 

  48. Hochstetter F (1893) Contribution to the developmental history of the venous system of the amniotes III. Sucker Morphology Jahrbücher 20:543–548

    Google Scholar 

  49. Bateson EM, Atkinson D (1969) Circumcaval ureter: a new classification. Clin Radiol 20(2):173–177

    Article  CAS  PubMed  Google Scholar 

  50. Huang KH, Chang SC, Huang CY, Pu YS, Huang JC (2005) Retrocaval ureter: report of 12 cases and literature review. JTUA 16(4):163–167

    Google Scholar 

  51. Rubinstein I, Calvacanti AG, Canalini AF, Freitas MA, Accioly PM (1999) Left retrocaval ureter associated with inferior vena cava duplication. J Urol 162:1373–1374

    Article  CAS  PubMed  Google Scholar 

  52. Hyseni N, Llullaku S, Berisha M, Sheiu A, Grajqevci S, Jashari H (2013) Case presentation of preureteral vena cava and review of the literature. Open J Urol 3(5):206–209

    Article  Google Scholar 

  53. Yarmohammadi A, MohamadzadehRezaei M, Feizzadeh B, Ahmadnia H (2006) Retrocaval ureter: a study of 13 cases. Urol J 3(3):175–178

    PubMed  Google Scholar 

  54. Pienkny A, Hertz I, Streem SB (1999) Contemporary diagnosis of retrocaval ureter. J Endourol 13:721–722

    Article  CAS  PubMed  Google Scholar 

  55. Singh DD, Sanjeev P, Sharma RK (2001) Spiral CT evaluation of circumcaval ureter retrocaval ureter. Ind J Radiol Imag 11:83–4

    Google Scholar 

  56. Muthusami P, Ramesh A (2013) Appearances of the circumcaval ureter on excretory urography and MR urography: a single-center case series. Indian J Radiol Imaging 23:81–5

    Article  PubMed  PubMed Central  Google Scholar 

  57. McGeady JBBB (2013) Current epidemiology of genitourinary trauma. Urol Clin North Am 40:323–334

    Article  PubMed  PubMed Central  Google Scholar 

  58. Presti JC Jr, Carroll PR, McAninch JW (1989) Ureteral and renal pelvic injuries from external trauma: diagnosis and management. J Trauma 29(3):370–4

    Article  PubMed  Google Scholar 

  59. Siram SM, Gerald SZ, Greene WR et al (2010) Ureteral trauma: Patterns and mechanisms of injury of an uncommon condition. Am J Surg 199:566–70

    Article  PubMed  Google Scholar 

  60. Abid A, Hashem H (2010) Ureteral injuries from gunshots and shells of explosive devices. Urol Ann 2:17–20

    Article  PubMed  PubMed Central  Google Scholar 

  61. Ramchandani P, Buckler PM (2009) Imaging of genitourinary trauma. Am J Roentgenol 192:1514–1523

    Article  Google Scholar 

  62. Bašić D, Ignjatović I, Potić M (2015) Iatrogenic ureteral trauma: a 16-year single tertiary centre experience. Srp Arh Celok Lek 143:162–8

    Article  PubMed  Google Scholar 

  63. Brandes S, Coburn M, Armenakas N, McAninch J (2004) Diagnosis and management of ureteric injury: an evidence-based analysis. BJU Int 94(3):277–89

  64. Bryk DJ, Zhao LC (2016) Guideline of guidelines: a review of urological trauma guidelines. BJU Int 117:226–34

    Article  PubMed  Google Scholar 

  65. Best CD, Petrone P, Buscarini M et al (2005) Traumatic ureteral injuries: a single institution experience validating the American Association for the Surgery of Trauma-Organ Injury scale grading scale. J Urol 173:1202–5

    Article  PubMed  Google Scholar 

  66. Kawashima A, Sandler CM, Corriere JN, Rodgers BM, Goldman SM (1997) Ureteropelvic junction injuries secondary to blunt abdominal trauma. Radiology 205:487–492

    Article  CAS  PubMed  Google Scholar 

  67. Foxman B (2003) Epidemiology of urinary tract infections: incidence, morbidity, and economic costs. Dis Mon 49:5370

    Article  Google Scholar 

  68. Wasnik AP, Elsayes KM, Kaza RK, Al-Hawary MM, Cohan RH, Francis IR (2011) Multimodality imaging in ureteric and periureteric pathologic abnormalities. AJR Am J Roentgenol 197:1083–1092

    Article  Google Scholar 

  69. Stunell H, Buckley O, Feeney J et al (2007) Imaging of acute pyelonephritis in the adult. Eur Radiol 17:1820–1828

    Article  CAS  PubMed  Google Scholar 

  70. Craig WD, Wagner BJ, Travis MD (2008) Pyelonephritis: radiologic-pathologic review. Radiographics 28:255–277

    Article  PubMed  Google Scholar 

  71. Demertzis J, Menias CO (2007) State of the art: imaging of renal infections. Emerg Radiol 14:13–22

    Article  PubMed  Google Scholar 

  72. Ifergan J, Pommier R, Brion MC et al (2012) Imaging in upper urinary tract infections. Diagn Interv Imaging 93:509519

    Article  Google Scholar 

  73. Figueiredo AA, Lucon AM, Srougi M (2017) Urogenital tuberculosis. Microbiol Spectr 5.doi: https://doi.org/10.1128/microbiolspec.TNMI7 -0015-2016

  74. Harisinghani MG, Mclaud TC, Shepard JA, Ko JP, Shroff MM, Mueller PR (2000) Tuberculosis from head to toe. Radiographics 20(2):449–70

    Article  CAS  PubMed  Google Scholar 

  75. Roylance J, Penry JB, Davies ER et al (1970) The radiology of tuberculosis of the urinary tract. Clin Radiol 21:163–170

    Article  CAS  PubMed  Google Scholar 

  76. Wang LJ, Wong YC, Chen CJ et al (1997) CT features of genitourinary tuberculosis. J Comput Assist Tomogr 21:254–258

    Article  CAS  PubMed  Google Scholar 

  77. Dunnick NR (2008) Textbook of uroradiology, 4th edn. Lippincott Williams & Wilkins, Philadelphia, Pa

    Google Scholar 

  78. Birnbaum BA, Friedman JP, Lubat E et al (1990) Extrarenal genitourinary tuberculosis: CT appearance of calcified pipe-stem ureter and seminal vesicle abscess. J Comput Assist Tomogr 14:653–655

    Article  CAS  PubMed  Google Scholar 

  79. Matos MJ, Bacelar MT, Pinto P, Ramos I (2005) Genitourinary tuberculosis. Euro. J Radiol 55:181–187

    Google Scholar 

  80. Nepal P, Ojili V, Songmen S, Batchala P, Kumar D, Nagar AM (2019) Multisystem imaging review of human schistosomiasis: characteristic imaging findings. Clin Imaging 54:163–171

    Article  PubMed  Google Scholar 

  81. Rajesh A, Jakanani G, Mayer N, Muicahy K (2011) Computed tomography findings in xanthogranulomatous pyelonephritis. J Clin Imaging Sci 1:45–51

    Article  PubMed  PubMed Central  Google Scholar 

  82. Sharma S, Jhobta A, Goyal D, Surya M, Sumala Negi A (2006) Ureteral involvement in xanthogranulomatous pyelonephritis - rare manifestation. Indian J Radiol Imaging 16:243–5

    Article  Google Scholar 

  83. Mittal MK, Sureka B, Sinha M, Thukral BB (2013) Unilateral xanthogranulomatous pyeloureteritis with a functioning kidney. Indain J Nephrol 23(5):388–389

    Article  CAS  Google Scholar 

  84. Brodoefel H, Bethge W, Vogel M, Fenchel M, Faul C, Wehrmann M et al (2010) Early and late onset acute GvvHD following hematopoietic cell transplantation; CT features of gastrointestinal involvement with clinical and pathological correlation. Eur J Radiol 7393:594–600

    Article  Google Scholar 

  85. Kirkali Z, Tuzel E (2003) Transitional cell carcinoma of the ureter and renal pelvis. Crit Rev Oncol Hematol 4792:155–69

    Article  Google Scholar 

  86. Browne RF, Meehan CP, Colville J, Power R, Torreggiani WC (2005) Transitional cell carcinoma of the upper urinary tract: spectrum of imaging findings. Radiographics 25(6):1609–27. Review

  87. Vikram R, Sandler CM, Ng CS (2009) Imaging and staging of transitional cell carcinoma. II. Upper urinary tract. AJR Am J Roentgenol 192(6):1488–1493

    Article  PubMed  Google Scholar 

  88. Milestone B, Friedman AC, Seidmon EJ, Radecki PD, Lev-Toaff AS, Caroline DF (1990) Staging of ureteral transitional cell carcinoma by CT and MRI. Urology 36:346–349

    Article  CAS  PubMed  Google Scholar 

  89. Wong You-Cheong JJ, Wagner BJ, Davis CJ (1998) Transitional cell carcinoma of the urinary tract: radiologic-pathologic correlation. Radiographics 18:123–142

    Article  CAS  PubMed  Google Scholar 

  90. Keely FX, Kulp DA, Bibbo M, Mc Cue PA, Bagley DH (1997) Diagnostic accuracy of ureteroscopic biopsy in upper tract transitional cell carcinoma. J Urol 157(1):33–37

    Article  Google Scholar 

  91. Cohen SM, Johansson SL (1982) Epidemiology and etiology of bladder cancer. Urology 19(472–477):22

    Google Scholar 

  92. Daniels RE 3rd (1999) The goblet sign. Radiology 210(3):737–738

    Article  PubMed  Google Scholar 

  93. Caoli EM, Cohan RH, Inampudi P, Ellis JH, Shah RB, Faerber GJ et al (2005) MDCT urography of upper tract urothelial neoplasm. AJR Am J Roentgenol 184(6):1873–1881

    Article  Google Scholar 

  94. Maher MM, Kalra MK, Rizzo S, Mueller PR, Saini S (2004) Multidetector CT urography in imaging of the urinary tract in patients with hematuria. Korean J Radiolo 5(1):1–10

    Article  Google Scholar 

  95. Takahashi N, Kawashima A, Glocjner JF, Hartman RP, Kim B, King BF (2009) MR urography for suspected upper tract urothelial carcinoma. Eur Radiol 19(4):912–923

    Article  PubMed  Google Scholar 

  96. Schniederjan SD, Osunkoya AO (2009) Lymphoid neoplasms of the urinary tract and male genital organs: a clinicopathological study of 40 cases. Mod Pathol 22(8):1057–1065

    Article  PubMed  Google Scholar 

  97. Kubota Y, Kawai A, Tsuchiya T, Kozima K, Yokoi S, Deguchi T (2007) Bilateral primary malignant lymphoma of the ureter. Int J Clin Oncol 12:482–484

    Article  PubMed  Google Scholar 

  98. Jaeger CD, McAlvaney KI, Zingula SN, Kramer SA, Hranberg CF (2014) Diffuse large B-cell lymphoma in an adolescent male presenting as ureteral stricture. Case Rep Radiol 2014:239345–239348

    PubMed  PubMed Central  Google Scholar 

  99. Lebowitz JA, Rofsky NM, Weinreb JC, Friedmann P (1995) Ureteral lymphoma: MRI demonstration. Abdom Imaging 20(2):173–175

    Article  CAS  PubMed  Google Scholar 

  100. Numakura K, Tsuchiya N, Obara T, Tsuruta H, Saito M, Narita S, Inoue T, Horikawa Y, Satoh S, Habuchi T (2011) A case of ureteral malignant lymphoma diagnosed by laparoscopic needle biopsy. Jpn J Clin Oncol 41:440–442

    Article  PubMed  Google Scholar 

  101. Ghersin E, Keidar Z, Eldad DJ, Bar-Shalem R, Fischer D, Halachmi S (2007) Multimodality imaging of direct ureteric involvement in non Hodgkin’s lymphoma using PET/CT, CT urography and antegrade CT pyelography. Br J Radiol 80(959):e283–e286

    Article  CAS  PubMed  Google Scholar 

  102. Ni BW, Zhong I, Wang T, Fy Chen (2014) Malignant lymphoma of the ureter: a case report and literature review. Exp Ther Med 7(6):1521–4

    Article  PubMed  PubMed Central  Google Scholar 

  103. Ruth K, El-Amm J, Sotelo T, Aragon-Ching JR (2013) Primary diffuse large B-cell lymphoma of the ureter in a patient with HIV: a case report and review of literature. Clin Lymphoma Myeloma Leuk 13(3):324–326

    Article  PubMed  Google Scholar 

  104. Roy S, Bijal SS (1993) Pancreatic adenocarcinoma presenting with ureteric metastasis. Case report and review of literature. Clin Imaging 17(2):99–103

    Article  CAS  PubMed  Google Scholar 

  105. Marincek AP, Scheidegger JR, Studer UE, Kraft R (1993) Metastatic disease of the ureter; pattern of tumoral spread and radiological findings. Abdom Imaging 18(1):88–94

    Article  CAS  PubMed  Google Scholar 

  106. Winalski CS, Lipman JC, Tumeh SS (1990) Ureteral neoplasms. Radiographics 10(2):271–283

    Article  CAS  PubMed  Google Scholar 

  107. Wasnik AP, Elseyer KM, Kaza RK, Al-Hawary MM, Cohan RH, Francis IR (2011) Multimodality imaging in ureteric and periureteric pathological abnormalities. AJR AM J Roentgenol 197(6):W1083–W1092

    Article  PubMed  Google Scholar 

  108. Jemal A, Murray T, Ward E et al (2005) Cancer statistics, 2005. CA Cancer J Clin 55:10–30

    Article  PubMed  Google Scholar 

  109. Lee G, Lee SY, Seo S et al (2011) Prognostic factors and clinical outcomes of urological soft tissue sarcomas. Korean J Urol 52:669–673

    Article  PubMed  PubMed Central  Google Scholar 

  110. Rademaker L (1943) Primary sarcoma of the ureter: case report and review of the literature. Am J Surg 62:402

  111. Rosser CJ, Slaton JW, Izawa JI, Levy LB, Dinney CP (2003) Clinical presentation and outcome of high-grade urinary bladder leiomyosarcoma in adults. Urology 61:1151–1155

    Article  PubMed  Google Scholar 

  112. Williams TR, Wagner BJ, Corse WR, Vestevich JC (2002) Fibroepithelial polyps of the urinary tract. Abdom Imaging 27(2):217–221

    Article  CAS  PubMed  Google Scholar 

  113. Lam JS, Bingham JB, Gupta M (2003) Endoscopic treatment of fibroepithelial polyps of the renal pelvis and ureter. Urology 62(5):810–813

    Article  PubMed  Google Scholar 

  114. Rouprêt M, Zigeuner R, Palou J, Boehle A, Kaasinen E, Sylvester R, Babjuk M, Oosterlinck W (2011) European guidelines for the diagnosis and management of upper urinary tract urothelial cell carcinomas: 2011 update. Eur Urol 59(4):584–94

  115. Wang ZJ, Meng MV, Yeh BM, Goldstein RB (2008) Ureteral fibroepithelial polyp. J Ultrasound Med 27:1647–1649

    Article  PubMed  PubMed Central  Google Scholar 

  116. Pearle MS, Calhoun EA, Curhan GC et al (2005) Urologic diseases in America project: urolithiasis. J Urol 173(3):848–57

    Article  PubMed  Google Scholar 

  117. Coe FL, Parks JH, Asplin JR (1992) The pathogenesis and treatment of kidney stones. N Engl J Med 327(16):1141–1152

    Article  CAS  PubMed  Google Scholar 

  118. Dalrymple NC, Verga M, Anderson KR et al (1998) The value of unenhanced helical computerized tomography in the management of acute flank pain. J Urol 159(3):735–40

    Article  CAS  PubMed  Google Scholar 

  119. Potenta SE, D’Agostino R, Sternberg KM, Tatsumi K, Perusse KCT (2015) Urography for evaluation of the ureter. Radiographics 35(3):709–26

    Article  PubMed  Google Scholar 

  120. Kilincaslan H, Leblebistan G, Tepeler A, Karakus SC (2011) Formation of obstructing blood clot in the ureter in a patient with Glanzmann’s thrombasthenia. Blood Coagul Fibrinolysis 22(8):735–737

    Article  PubMed  Google Scholar 

  121. Geoghegan T, Byrne AT, Benfayed W, McAuley G, Torreggiani WC (2007) Imaging and intervention of retroperitoneal fibrosis. Australas Radiol 51(1):26–34

    Article  CAS  PubMed  Google Scholar 

  122. Amis ES (1991) Retroperitoneal fibrosis. AJR AM J Roentgenol 157(2):321–329

    Article  PubMed  Google Scholar 

  123. Demko TM, Diamond JR, Groff J (1997) Obstructive nephropathy as a result of retroperitoneal fibrosis: a review of its pathogenesis and associations. J Am Soc Nephrol 8:684–688

    Article  CAS  PubMed  Google Scholar 

  124. Koep L, Zuidemia GD (1977) The clinical significance of retroperitoneal fibrosis. Surgery 81:250–257

    CAS  PubMed  Google Scholar 

  125. Cronin CG, Lohan DG, Blake MA, Roche C, McCarthy P, Murphy JM (2008) Retroperitoneal fibrosis: a review of clinical features and imaging findings. AJR AM J Roentgenol 191(2):423–431

    Article  PubMed  Google Scholar 

  126. Brun B, Laursen K, Serensen IN, Lorentzen JE, Kristensen JK (1981) CT in retroperitoneal fibrosis. AJR AM J Roentgenol 137(3):535–538

    Article  CAS  PubMed  Google Scholar 

  127. Bakir B, Yilmaz F, Turkay R, Ozzel S, Bilgic B, Velioglu A et al (2014) Role of diffusion weight MR imaging in the differentiation of benign retroperitoneal fibrosis from malignant neoplasm: preliminary study. Radiology 272(2):438–45

    Article  PubMed  Google Scholar 

  128. Bosev D, Nicoll LM, Bhagan L, Lemyre M, Payne CK, Gill H et al (2009) Laproscopic management of ureteral endometriosis: the Stanford University Hospital experience with 96 consecutive cases. J Urol 182(6):2748–2752

    Article  PubMed  Google Scholar 

  129. Hsieh MF, Wu IW, Tsai CJ, Huang SS, Chang LC, Wu MS (2010) Ureteral endometriosis with obstructive uropathy. Intern Med 49:573–576

    Article  PubMed  Google Scholar 

  130. Kinkel K, Frei KA, Balleyguier C, Chapron C (2006) Diagnosis of endometriosis with imaging: a review. Eur Radiol 16(2):285–298

    Article  PubMed  Google Scholar 

  131. Balleyguir C, Roupret M, Nguyen T, Kinkle K, Helenon O, Chapron C (2004) Ureteral endometriosis: the role of magnetic resonance imaging. J Assoc Gynecol Laprosc 11(4):530–536

    Article  Google Scholar 

  132. Fam XI, Singam P, Ho CC, Sridharan R, Hod R, Bahadzor B, Goh EH, Tan GH, Zainuddin Z (2015) Ureteral stricture formation after ureteroscope treatment of impacted calculi: a prospective study. Korean J Urol 56(1):63–7

  133. Chan JK, Morrow J, Manetta A (2003) Prevention of ureteral injuries in gynecologic surgery. Am J Obstet Gynecol 188(5):1273–1277

    Article  PubMed  Google Scholar 

  134. Patel RC, Newman RC (2004) Ureteroscopic management of ureteral and ureteroenteral strictures. Urol Clin North Am 31(1):107–113

    Article  PubMed  Google Scholar 

  135. Morgagni JB. De sedibus et causis morborum per anatomen indagatis libri quinque. London: William Cooke Translation; 1822. p. 316,411.

  136. Petersen UE, Kvist E, Friis M, Krogh J (1991) Ureteritis cystica Scan J Urol Nephol 25:1–4

    Article  CAS  Google Scholar 

  137. Menendez V, Sala X, Alvarez-Vijande R, Sole M, Rodriguez A, Carretero P (1997) Cystic pyeloureteritis. Review of 34 cases. Radiological aspects and differential diagnosis. Urology 50(1):31

    Article  CAS  PubMed  Google Scholar 

  138. Poturalski MJ, Purysko AS, Herts BR (2015) Ureteritis cystica. J Urol 193(4):1379–80

    Article  PubMed  Google Scholar 

  139. Holly LE, and Sumcad B (1957) Diverticular ureteral changes; a report of four cases. Am J Roentgenol Radium Ther Nucl Med 78(6):1053–60

  140. Cochran ST, Waisman J, Barbaric ZI (1980) Radiographic and microscopic findings in multiple ureteral diverticula. Radiology 137(3):631–636

    Article  CAS  PubMed  Google Scholar 

  141. Spalluto LB, Woodfield CA (2009) Ureteral pseudodiverticulosis: a unique caase diagnosed by multidetector computed tomography. J Comput Assist Tomogr 33(2):286–287

    Article  PubMed  Google Scholar 

  142. Sugiura H, Akita H, Kikuchi E, Mikami S, Hayakawa N, Narita K, Jinzaki M (2018) Ureteral pseudodiverticulosis accompanied by urothelial carcinoma diagnosed by CT urography: a case report and review of the literature. BJR Case Rep 4(2):20170111

  143. Chiong E, Consignliere D (2004) Antegrade ureteral intussusception: a rare complication of percutaneous endoyelotomy. Urology 64(6):1231.e12–4

    Article  Google Scholar 

  144. Chao CH, Fong TC, Hughes-Cassidy F, Aganovic I (2012) Ureteral intussusception; a case report and literature review. J Comput Assist Tomogr 36(2):261–264

    Article  PubMed  Google Scholar 

  145. Mazer MJ, Lacy SS, Kao I (1979) Bell-shaped ureter, a radiographic sign of antegrade intussusception. Urol Radiol 1:63–65

    Article  CAS  PubMed  Google Scholar 

  146. Xu W, Yu CS, Yang I, Li KC (2007) Ureteral intussusception due to polyp. Abdom Imaging 32(5):675–677

    Article  PubMed  Google Scholar 

  147. Long JP Jr, Althausen AF (1989) Malacoplakia; a 25-year experience with a review of the literature. J. Urol 141:1328–1331

    Article  PubMed  Google Scholar 

  148. Odea MJ, Malek RS, Farrow GM (1977) Malacoplakia of the urinary tract: challenges and frustrations with 10 cases. J Urol 125:739–742

    Article  Google Scholar 

  149. Sanchez LM, Sanchez SI, Bailey JL (2009) Malakoplekia presenting with obstructive nephropathy with bilateral ureter involvement. Nat Rev Nephrol 5(7):418–422

    Article  PubMed  Google Scholar 

  150. Yahya Z, Al-Habbal Y, Hassen S (2017) Ureteral inguinal hernia: an uncommon trap for general surgeons. BMJ Case Rep 2017:bcr2017219288. https://doi.org/10.1136/bcr-2017-219288

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Zahid, M., Nepal, P., Nagar, A. et al. Imaging of ureter: a primer for the emergency radiologist. Emerg Radiol 28, 815–837 (2021). https://doi.org/10.1007/s10140-021-01930-5

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