{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T19:23:29Z","timestamp":1792610609092,"version":"4.5.0"},"reference-count":6,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,11,2]]},"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:p>A ureterocele is a submucosal, cystic dilation of the terminal ureter, either congenital or acquired, as it enters the bladder. It is a rare clinical entity that can be entirely asymptomatic and present as an incidental finding or can manifest in the form of distressing symptoms such as unremitting abdominal pain, haematuria, obstructive uropathy, to name a few. The authors present a case of abdominal pain in a 43-year-old woman who was presumptively attributed to various clinical entities and was finally referred to the chronic pain clinic. The patient underwent numerous diagnostic tests, psychological evaluations and therapeutic interventions, including surgeries, over the years that failed to mitigate her symptoms until urologic imaging reported intravesical ureterocele as the underlying disorder. The case report entails the diagnostic challenge faced by the authors along with the clinical characteristics of ureterocele.<\/jats:p>","DOI":"10.1136\/bcr-2021-245262","type":"journal-article","created":{"date-parts":[[2021,11,11]],"date-time":"2021-11-11T07:16:13Z","timestamp":1636614973000},"page":"e245262","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Ureterocele as a cause of chronic intractable abdominal pain"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4468-1808","authenticated-orcid":false,"given":"Gaurav","family":"Chauhan","sequence":"first","affiliation":[{"name":"Chronic Pain Division, Dept. of Anesthesiology and Chronic Pain Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isaiah","family":"Levy","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation, UPMC, Pittsburgh, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel Wadie","family":"Samuel","sequence":"additional","affiliation":[{"name":"Pain Management, Cleveland Clinic Foundation, Cleveland, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,11,11]]},"reference":[{"key":"2025082802451077000_14.11.e245262.1","unstructured":"Peters CA , Mendelsohn C . Peds cap 134. ectopic ureter, ureterocele, and ureteral anomalies. Campbell-Walsh Urol. Philadelphia: Elsevier Saunders, 2016: 3087\u201396."},{"key":"2025082802451077000_14.11.e245262.2","first-page":"62","article-title":"Bilateral simple orthotopic ureteroceles with bilateral stones in an adult: a case report and review of literature","volume":"17","author":"Shamsa","year":"2010","journal-title":"Urol J"},{"key":"2025082802451077000_14.11.e245262.3","doi-asserted-by":"crossref","first-page":"62","DOI":"10.2174\/1389202916666151014222815","article-title":"Genetic basis of ureterocele","volume":"17","author":"Schultz","year":"2015","journal-title":"Curr Genomics"},{"key":"2025082802451077000_14.11.e245262.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2007.03.001"},{"key":"2025082802451077000_14.11.e245262.5","doi-asserted-by":"crossref","first-page":"62","DOI":"10.2174\/1389202916666151014222815","article-title":"Genetic basis of ureterocele","volume":"17","author":"Schultza","year":"2016","journal-title":"Curr Genomics"},{"key":"2025082802451077000_14.11.e245262.6","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410X.2002.02998.x"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-245262","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:45:16Z","timestamp":1756374316000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-245262"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11]]},"references-count":6,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2021,11,11]]},"published-print":{"date-parts":[[2021,11]]}},"alternative-id":["10.1136\/bcr-2021-245262"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-245262","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,11]]}}}