Leiomyoma of the ureter

Abstract

A 57-year-old woman was referred following an acute episode of left-sided pyelonephritis associated with Klebsiella spp infection. After antibiotic treatment and resolution of the infection, the left flank pain continued and imaging revealed left hydronephrosis and hydroureter, with apparent obstruction on the left pelvic sidewall associated with the presence of a round lesion approximately 36 mm in diameter (Fig. 1). The left ovary appeared to be in close relation to the obstructing lesion, but separate. The right renal tract was normal. Her serum creatinine level was elevated at 102 μmol/L, but tumour markers were equivocal with normal results for carcinoembryonic antigen and CA-125, but an elevated level of CA19.9 (84 kU/L). Show more