Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2018 May 29;35(3):275-277.
doi: 10.4274/balkanmedj.2017.1537.

Rare Fibroepithelial Polyp Extending Along the Ureter: A Case Report

Hakan Akdere  1 , Gökhan Çevik  1
Affiliations
Case Reports

Rare Fibroepithelial Polyp Extending Along the Ureter: A Case Report

Hakan Akdere et al. Balkan Med J. .

Abstract

Background: Fibroepithelial polyps of the urinary tract are rare tumors, and their occurrence in the upper urinary tract is highly unusual.

Case report: This study reports a 9-year-old boy who presented to our clinic with complaints of unilateral flank pain and macroscopic hematuria. The direct urinary system graph did not show stone formation; therefore, magnetic resonance urography was performed. This revealed a filling defect in the left proximal ureter. On cystoscopy, a polyp was seen in the orifice of the left ureter, extending along the ureter. The polyp was resected by laser ablation and removed from the ureter. Histopathologic examination revealed a fibroepithelial polyp comprising fibrovascular stroma covered with transitional epithelium.

Conclusion: Although extremely rare, a fibroepithelial polyp should be considered in the differential diagnosis when a young patient presents with flank pain and macroscopic hematuria. Endoscopic procedures may be the treatment of choice for polyps located in the upper ureter.

Keywords: Children; fibroepithelial; polyps; urinary tract.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: No conflict of interest was declared by the authors.

Figures

Figure 1
Figure 1. The filling defect in the left proximal ureteropelvic junction on magnetic resonance urography.
Figure 2
Figure 2. The polyp from the orifice (a), the polyp in the ureter (b), the resected polyp (10 cm) (c), transitional epithelium covering the fibrovascular stroma (d) (H&E, x100).
See this image and copyright information in PMC

References

    1. Lam JS, Bingham JB, Gupta M. Endoscopic treatment of fibroepithelial polyps of the renal pelvis and ureter. Urology. 2003;62:810–3. - PubMed
    1. Bhalla RS, Schulsinger DA, Wasnick RJ. Treatment of bilateral fibroepithelial polyps in a child. J Endourol. 2002;16:581–2. - PubMed
    1. Oğuzkurt P, Oz S, Oğuzkurt L, Kayaselçuk F, Tercan F. An unusual cause of complete distal ureteral obstruction: giant fibroepithelial polyp. J Pediatr Surg. 2004;39:1733–4. - PubMed
    1. Güneş M, Keleş MO, Koca OM, Yılmaz Ö, Kaya C. Bilateral üreter obstrüksiyonunun nadir bir sebebi: Fibroepitelyal polip. Marmara Med J. 2010;23:382–5.
    1. Carey RI, Bird VG. Endoscopic management of 10 separate fibroepithelial polyps arising in a single ureter. Urology. 2006;67:413–5. - PubMed

Publication types

LinkOut - more resources