Left retrocaval ureter without situs inversus or inferior venacava duplication

Thirugnanasambandam, Vasudevan; Mossadeq, Abdulrazack; Nayak, Prasant Kumar

doi:10.4103/0970-1591.155803

Cited by 1 publication

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“…Retrocaval ureter is almost always seen on the right side and left retrocaval ureter is even rarer. It usually accompanies situs inversus 3 . Bilateral retrocaval ureter is the most rare form according to the current literature 4 .…”

Section: Introductionmentioning

confidence: 99%

A Rare Cause of Hydronephrosis: Retrocaval ureter

Aktaş

2021

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Retrocaval ureter is a rare congenital anomaly that can cause hydroureteronephrosis. The right ureter winds posterior to the inferior vena cava and then continues to cours anteriorly due to abnormal embryogenesis of vena cava. Retrocaval ureter is seen mostly on the right side except patients with situs inversus. Although retrocaval ureter is a congenital disease, patients become symptomatic during the third or fourth decade of their lives. Flank pain, hematuria, upper tract urinary infections and urolithiasis are the symptoms can be seen. Ultrasound can show the dilation of the kidney but it is far from accurate diagnosis. Retrocaval ureter is diagnosed with intravenous pyelography (IVP), computed tomography urography (CTU) and magnetic resonance urography (MRU). Mild hydronephrosis with good excretory times can be followed without surgical intervention. But severe hydronephrosis with symptoms should be corrected with surgery. The surgical treatment involves excision of the retrocaval part of the ureter then bringing it anterior to the vena cava followed by ureteroureteral or ureteropelvic anastomosis. Open, laparoscopic and robotic surgeries are the different treatment modalities. Transperitoneal and retroperitoneal approaches are different options for the surgery. In this paper we report a retrocaval ureter case managed with laparoscopic ureteroureterostomy.

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Section: Introductionmentioning

confidence: 99%

A Rare Cause of Hydronephrosis: Retrocaval ureter

Aktaş

2021

Dicle Tıp Dergisi

View full text Add to dashboard Cite

show abstract

Left retrocaval ureter without situs inversus or inferior venacava duplication

Cited by 1 publication

References 0 publications

A Rare Cause of Hydronephrosis: Retrocaval ureter

A Rare Cause of Hydronephrosis: Retrocaval ureter

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