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Recurrent flank pain caused by eosinophilic ureteritis mimicking urinary stone disease: A case report

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Abstract

Flank pain is caused by a variety of pathologies of which urinary stone disease is the most frequent. Eosinophilic ureteritis is a rare stenosing condition of the ureter. Eosinophilic ureteritis can cause flank pain and/or unilateral hydronephrosis. On pathological examination it is characterised by a marked infiltration of the submucosal layers by eosinophils. A relationship of this condition with atopy, hypereosinophilic syndrome and prior ureteral trauma has been described. Surgical resection of the stenosing segment with end-to-end anastomosis is usually a successful treatment. In some cases of proximal disease total nephro-ureterectomy has been performed. One author describes remission of disease after a prolonged oral corticosteroid regimen. In this article we report another case of eosinophilic ureteritis and discuss different treatment strategies.

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Authors and Affiliations

  1. Halewijnlaan 14, B-3060, Bertem, Belgium

    G. Sergeant

  2. Urology department, General hospital AZ, Groeninge, Kortrijk, Belgium

    G. Sergeant, K. Slabbaert & P. Werbrouck

Authors
  1. G. Sergeant
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  2. K. Slabbaert
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  3. P. Werbrouck
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Correspondence to G. Sergeant.

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Sergeant, G., Slabbaert, K. & Werbrouck, P. Recurrent flank pain caused by eosinophilic ureteritis mimicking urinary stone disease: A case report. Int Urol Nephrol 36, 23–25 (2003). https://doi.org/10.1023/B:UROL.0000032678.84766.70

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  • DOI: https://doi.org/10.1023/B:UROL.0000032678.84766.70

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