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Retrocaval ureter with recurrent pyelonephritis.

H Fukuoka¹, N Fukushima, K Uekane

¹Department of Maternal and Child Health, School of Health Sciences, Faculty of Medicine, University of Tokyo, Japan.

Gynecologic and Obstetric Investigation

|January 1, 1992

Summary

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Retrocaval ureter, a rare condition causing recurrent pyelonephritis, requires prompt diagnosis. Surgical correction of the retrocaval ureter can prevent progressive kidney damage and severe hydronephrosis.

Area of Science:

Urology
Radiology

Background:

Retrocaval ureter is a congenital anomaly where the ureter passes behind the inferior vena cava.
It can lead to urinary obstruction, recurrent pyelonephritis, and progressive kidney damage.

Observation:

A case of retrocaval ureter presenting with recurrent pyelonephritis is described.
Diagnostic imaging revealed significant hydronephrosis and a characteristic J-shaped, dilated right ureter.

Findings:

Surgical resection of the retrocaval ureter segment with end-to-end anastomosis anterior to the vena cava was performed.
This intervention aimed to relieve the obstruction and preserve renal function.

Implications:

Early radiological diagnosis is crucial for timely intervention in retrocaval ureter.

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Prompt management can prevent severe hydronephrosis and irreversible kidney damage.