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[Transcaval ureter].

Jacques Gazaigne1, Abdel Salam Alkhouja, Philippe Sebe

  • 1Service d'Urologie, Centre Hospitalier de Bourges, 145, avenue François Mitterrand, BP 603, 18016 Bourges. bibliotheque@ch-bourges.fr

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie
|August 23, 2002
PubMed
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This case report details a rare transcaval ureter complicated by acute obstructive pyelonephritis. This congenital anomaly involves the right ureter passing through an abnormal inferior vena cava ring.

Area of Science:

  • Urology
  • Vascular Malformations
  • Congenital Anomalies

Background:

  • Transcaval ureter is a rare congenital anomaly.
  • It results from abnormal development of the inferior vena cava (IVC).
  • The right ureter passes through a venous ring within the infra-renal IVC.

Observation:

  • A 54-year-old patient presented with acute obstructive pyelonephritis.
  • This complication arose in the context of a transcaval ureter.
  • The condition involves a localized duplication of the IVC.

Findings:

  • The transcaval ureter was identified as the underlying cause.
  • Persistence of embryonic veins (right posterior cardinal and supracardinal) leads to this malformation.
  • Obstructive pyelonephritis highlights a potential clinical consequence.

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Implications:

  • Early diagnosis of transcaval ureter is crucial for preventing complications.
  • Understanding the embryological basis aids in surgical planning.
  • This case underscores the importance of recognizing rare vascular anomalies in urological practice.