Duplicated and ectopic ureter radiology

Duplication of collecting system is most common congenital urinary tract anomaly ; Spectrum from bifid renal pelvis to complete duplication (Incomplete : complete = 2:1) Ectopic ureter – Ureteral orifice below normal insertion in trigone; commonly associated with duplex collecting system Duplicated ureter – 2 ureters drain duplex kidney and remain separate down to bladder … Read more

STRUMA OVARII radiology

DEFINITION – Struma ovarii is monodermal teratoma in which thyroid tissue is exclusively present or constitutes > 50% of mature cystic teratoma IMAGING – Multilocular cystic mass with avidly enhancing soft tissue component ± dermoid cyst – Cystic portion shows various signal on MRI ; T2 low signal intensity foci = gelatinous material – Multilocular … Read more

Xanthogranulomatous pyelonephritis radiology

Atypical, incomplete immune response to subacute bacterial infection10% with DM Presentation• Low-grade fever, malaise• Flank pain, hematuria• 9% with pyuria, 60% urine culture(+)• More frequent in women in 45-65 years old Pathology – Parenchyma replaced with lipid-laden macrophages – Associated with renal pelvic calculus, hydronephrosis ➜ Lamellated staghorn stone IMAGING – Non-functioning enlarged kidney ; … Read more

OHVIRA syndrome (obstructed hemivagina and ipsilateral renal anomaly)

Patient history– An 18 year-old female came to hospital due to amenorrhea with lower abdominal pain.the patient had menarche at 13 year-old, but since 14 year-old she had no menstruation. Female genital tract development 1) Ductal development– Undifferentiated gonads with idential paired genital ducts (Wolffian & Mullerian duct)– Absence of Y chromosome → Differentiation into … Read more

What is Malacoplakia

Malacoplakia is an uncommon granulomatous inflammatory condition that can affect various organs with predilection for the genitourinary tract, especially urinary bladder. Soft plaque resulting from defective macrophage function can be seen in various organ. This condition has peak incidence in middle age with female predilection (4:1). Associated with immunosuppression, infection and systemic illnesses. Symptom Fever, … Read more