Retrocaval ureter with ureteral carcinoma
J Fillo1, I Cervenakov, J Mardiak
1Department of Urology and Andrology, Faculty of Medicine, Comenius University, University Hospital, Bratislava, Slovakia. jfillo@zutom.sk
Abstract:
The authors report a rare congenital anomaly, retrocaval ureter (RCU) with carcinoma. The patient had recurrent pyelonephritis, hematuria and renal colic. Urography shows no function on right side. Abdominal ultrasound revealed marked right hydronephrosis. Antegrade ureterography through nephrostomy revealed a RCU. Helical C.T. confirmed the RCU and also revealed a defect in contrast medium in the upper ureter. We performed percutaneus antegrade nephro-ureteroscopy and found carcinoma of the retrocaval ureter. This may be the first case of tumor in the RCU. We did not find any other in the literature. (Fig. 3, Ref. 14.).
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