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Type I and II circumcaval ureter in children: experience in three cases

Erem Kaan Basok1, Asif Yildirim, Resit Tokuc

  • 1Department of Urology, S.B. Istanbul Goztepe Training and Research Hospital, Sarikanarya sok, 11/11 Kozyatagi, 34742, Istanbul, Turkey. ebasok@yahoo.com

Advances in Therapy
|April 11, 2008
PubMed

Insights

Circumcaval ureter, a rare congenital anomaly where the right ureter crosses behind the inferior vena cava (IVC), requires surgery in symptomatic children. This study details surgical correction in three pediatric cases of obstructive circumcaval ureter.

Area of Science:

  • Urology
  • Pediatric Surgery
  • Congenital Abnormalities

Background:

  • Circumcaval ureter is a rare congenital anomaly.
  • The right ureter abnormally passes behind the inferior vena cava (IVC).
  • It is seldom reported in childhood, making pediatric cases significant.

Observation:

  • Presents three childhood cases of circumcaval ureter.
  • Two distinct types of obstructive circumcaval ureter were identified.
  • All cases required surgical intervention.

Findings:

  • Surgical correction involved transecting and repositioning the right ureter anterior to the IVC.
  • Successful surgical outcomes were achieved in all three pediatric patients.
  • Demonstrates the feasibility and effectiveness of surgical management in childhood circumcaval ureter.

Implications:

  • Highlights the importance of recognizing and managing circumcaval ureter in pediatric populations.
  • Surgical intervention is effective for symptomatic obstructive cases in children.
  • Contributes to the limited literature on childhood circumcaval ureter, aiding future diagnosis and treatment strategies.

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