Relevant data were collected and analyzed regarding perioperative morbidity. In the present paper the authors report on four cases, discussing their diagnostic, clinical and therapeutic aspects. Retrograde pyelogram of the type i variant shows an sshaped outline. Retrocaval ureter also referred to as preureteral vena cava is a rare congenital anomaly. Intravenous pyelogram with nonvisualization of right ureters arrow. Radhiana hassan, azian abd aziz, and siti kamariah che mohamed. Circumcaval ureter, also known as retrocaval ureter, is a term used to describe an abnormal course of a ureter that encircles the inferior vena cava. Postcaval ureter, also known as circumcaval or retrocaval ureter, is a congenital anomaly, primarily of the vascular system, that has been recognized and reported with increasing frequency in t.
Followup was done with intravenous urography and diuretic renography. We are presenting a case of 45yearold lady who had right flank pain and dysuria, which were associated with right hydroureteronephrosis. Physical examination and laboratory diagnostic studies were within normal limits. Cilr 2016 miguel ramos laparoscopic retrocaval right ureter duration. An international journal of medicine on deepdyve, the largest online rental service for scholarly research with thousands of academic publications available at. Abnormality in embryogenesis of ivc results from abnormal persistence of right subcardinal vein positioned ventral to ureter in the definitive ivc. Retrocaval location of the ureter is a rare ontogenic vessel anomaly. In type 1 retrocaval ureter low loop, the dilated upper ureter is seen to descend from the renal pelvis and then curve upward and medially forming a reversed j appearance on ivp. Retrocaval ureter presenting as hydroureteronephrosis a case. After the ureter was excised at the ureteropelvic junction and relocated anterior to the vena cava the 5. Retrocaval ureter is a congenital abnormality in which the ureter passes behind the inferior vena cava leading to varying degrees of ureteral compression. Diagnosis was confirmed by doing intravenous pyelogram ivp and patient. Unfortunately both term suggest that ureter is at fault whereas in reality it is the ivc.
Retrocaval ureter is a rare congenital anomaly, with the ureter passing posterior to the inferior vena cava. The classical fishhookreverse j sign on intravenous urography helps in diagnosis. Postcaval ureter report and discussion of a case with. A case of retrograde treatment of a ureteral stone in a retrocaval. Developing right ureter courses behind and medial to the ivc. A retrocaval ureter circumcaval ureter is a developmental anamoly of inferior vena cava ivc. Renal calculi are also present, presumably due to stasis. The diagnosis was made on intravenous urography which showed typical j shape deformity in the proximal dilated ureter with moderate hydronephrosis.
Jcdr retrocaval ureter, flank pain, hydroureteronephrosis, ivp. Though it is a congenital anomaly, patients do not normally present with symptoms until the 3rd and 4th decades of life from a resulting hydronephrosis. Epidemiology and natural history 482 evaluation and nonsurgical management of benign prostatic hyperplasia 486 minimally invasive and endoscopic management of benign prostatic hyperplasia 493 retropubic and suprapubic open prostatectomy 496 epidemiology etiology books. A retrocaval ureter, which is also called circumcaval ureter, is an abnorm development of vena cava and ureter. Lautin em, haramati n, frager d, friedman ac, gold k, kurtz a, et al. Though it is a congenital anomaly, patients do not normally present with symptoms until the 3 rd and 4 th decades of life, which result from a hydronephrosis. Retrocaval ureter also referred to as preureteral vena cava is a rare congenital anomaly with the ureter passing posterior to the inferior vena cava. Retrocaval ureter is a rare congenital anomaly, with the ureter passing posterior. The course of the ureter could be classified, using an intravenous urography, as type 1 having sshaped, fishhook, or jshaped retrocaval. Due to the persistence of the right subcardinal vein in the lumbar area, the vena cava develops ventral of the right ureter zhang et al, 1990. Ivp and ct demonstrate partial obstruction of the right renal collecting system with a retrocaval ureter. Its rarity and nonspecificpresentation pose a challenge to surgeons and radiologists in making the correct diagnosis. Retrocaval ureter presenting at 6 years of age in a girl child an. Retrocaval ureter is a congenital abnormality in which the.
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