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Retrocaval ureter with hydronephrosis
Munawwar Iqbal1, Mohammad Najeeb-ur-Rab Ansari
1Dow University of Health Sciences, Lyari General Hospital, Karachi.
JPMA. the Journal of the Pakistan Medical Association
|February 4, 2006
Summary
Retrocaval ureter, a rare congenital anomaly, can cause lumbar pain and kidney stones. Surgical correction involved ureter repair and stone removal, successfully treating the patient.
Area of Science:
- Urology
- Congenital Anomalies
Background:
- Retrocaval ureter is a rare congenital anomaly where the ureter passes behind the inferior vena cava.
- This anatomical variation can lead to significant clinical complications.
Observation:
- A patient presented with right lumbar pain, a renal stone, and hydronephrosis.
- Diagnostic imaging, including intravenous urography and CT scan, revealed a typical "J" shape deformity of the proximal ureter and moderate hydronephrosis, confirming the retrocaval ureter diagnosis.
Findings:
- Surgical exploration confirmed the retrocaval ureter.
- The procedure involved transecting the ureter, removing the renal stone, and performing a uretero-ureteral anastomosis with anteriorization of the ureter.
Implications:
- This case highlights the diagnostic approach and successful surgical management of a symptomatic retrocaval ureter.
- Surgical anteriorization offers a viable treatment option for this rare congenital anomaly, preventing further complications.