[Macrohematuria in retrocaval ureter]

Area of Science:

• Urology
• Surgical Case Reports

Background:

• Retrocaval ureter is a rare congenital anomaly where the ureter passes behind the inferior vena cava.
• This anatomical variation can lead to urinary tract obstruction and complications such as haematuria.

Observation:

• A patient presented with severe haematuria, a significant clinical symptom.
• Diagnostic imaging, including retrograde pyelography and intravenous urography, was employed.

Findings:

• The investigations confirmed the presence of a retrocaval ureter as the cause of the haematuria.
• The diagnostic findings guided the selection of the appropriate surgical intervention.

Implications:

• This case highlights the importance of considering rare congenital anomalies in the differential diagnosis of haematuria.
• Anderson-Hynes pyeloplasty with ureteral transposition is presented as an effective surgical solution for symptomatic retrocaval ureter.