ORTHOTOPIC URETEROCELE MASQUERADING AS A BLADDER TUMOR IN A WOMAN WITH PELVIC PAIN

Single system orthotopic ureteroceles often present in adulthood are associated with charac-teristic radiographic findings. We present the case of a 54 year old woman with 8 months of urgency/ frequency and pelvic pain that has the cystoscopic appearance of a bladder tumor. Cystoscopic im-ages, radiographs and intraoperative photos demonstrate the work-up, evaluation, and treatment of this unique single system orthotopic ureterocele containing a calculus. This patient demonstrates the need for cystoscopy accompanied by upper tract imaging in patients with new onset pelvic pain, urgency/frequency, and frequent urinary tract infections. Key words: bladder; ureterocele; bladder neoplasms; ureteral calculi; pelvic pai