Pyelo-Ureteritis Cystica

Abstract

Pyelo-ureteritis cystica is characterised by cyst-like formations in the wall of the renal pelvis or ureter usually associated with an inflammatory condition of the upper urinary tract. Some hundred cases have been reported in the literature although a great number of thcm have been incomplctely described. The diagnosis is nowadays usually established roentgenologically.The first description of ureteritis cystica was rccorded by MORGAGNI in 1761. One of his two autopsy cases had had chronic urinary obstruction and proximally both urcters contained 'spherical drops of various sizes. They did not admit of being wiped away with the sponge, but by compressing them between finger and scalpel they were reduccd to a viscid water tinged with a faint colour of tobacco'.The first cases diagnosed by pyelography were described in 1929 by JACOBY and by JOELSON. KNUTSSON (1935) reported the first two cases of ureteritis cystica from Scandinavia. ORNING (1941) described urographic findings ofcystic formations in a renal pelvis and ureter and the bladder in a man aged 63, while SKOG-

Pyelo-Ureteritis Cystica

“…The most probable and widely-accepted explanation is that the disease has its origin in an inflammatory process [1][2][3][4][5][6][7]. G iani was the first to observe cystic lesions following the implantation of tuber culous bacteria into the rabbit mucosa [5].…”

“…(1) Antibiotic therapy alone or in conjunction with ureteral dilation has been successful [I, 4,5,7], (2) Mechanical disruption of cysts by ureteral catheters, followed by re peated instillation of 2% AgNC>3 [1,7], (3) Nephrostomy has been employed to drain the hydronephrotic kidney [3,4], (4) As advocated by C ou v ela ire [3], plastic replacement of ureters may be done in case of bilateral ureteral involvement.…”

“…Two post mortem observations were first reported by Morgagni in 1761. but it was not until 1928 that the disease was described clinically [1]. Since then about 100 cases have been reported in the world literature [1][2][3][4][5][6][7]. There is a discrepancy between the number of autopsie observations and clinically-diagnosed cases.…”