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[Retro-iliac ureter associated with ipsilateral megaureter].
Ahmed Ameur1, Mohamed Lezrek, Hassan Jira
1Service d'Urologie, Hôpital Militaire My Ismail, Meknès, Maroc. ahmedameur1@caramail.com
Summary
Retro-iliac ureter, a rare congenital anomaly, was successfully treated in a patient with an associated ipsilateral megaureter. This case, the first reported instance of this combined condition, involved surgical repositioning and reimplantation.
Area of Science:
- Urology
- Congenital Abnormalities
- Surgical Techniques
Background:
- Retro-iliac ureter is a rare congenital anomaly where the ureter passes behind the iliac vessels.
- Megaureter is a condition characterized by abnormal dilation of the ureter.
- The simultaneous occurrence of retro-iliac ureter and ipsilateral megaureter is exceptionally uncommon.
Observation:
- A 38-year-old patient presented with a retro-iliac ureter associated with an ipsilateral megaureter.
- The patient underwent surgical intervention for this rare condition.
Findings:
- The treatment involved sectioning the ureter at the ureterovesical junction.
- Dissection extended to the iliac pedicle, which was then anteriorly repositioned.
- Ureterovesical reimplantation was performed following the repositioning.
Implications:
- This case represents the first documented instance of a retro-iliac ureter associated with an ipsilateral megaureter.
- The surgical approach described may offer a viable treatment option for this rare pathological association.
- Further research into managing combined ureteral anomalies is warranted.