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An Immature Murine Model of Reversible Unilateral Ureteral Obstruction

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Transcaval ureter: a rare embryological anomaly causing obstructive uropathy.

Stephanie Giddy¹, Isaac Thangasamy², Antonio Vega Vega³

¹School of Medicine, University of Queensland, Herston, Queensland, Australia.

BMJ Case Reports

|February 20, 2015

Summary

A rare condition called transcaval ureter caused a young woman

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Area of Science:

Urology
Vascular Surgery

Background:

Congenital anomalies of the inferior vena cava (IVC) and ureter can lead to complex urological issues.
Transcaval ureter, a rare condition where the ureter passes through a duplicated IVC, can cause significant symptoms.

Observation:

A 21-year-old woman presented with flank pain and recurrent urinary tract infections.
Imaging revealed right hydronephrosis and confirmed a transcaval ureter.
The patient experienced flank pain likely due to ureteric obstruction by the duplicated IVC.

Findings:

Surgical intervention, specifically a laparoscopic ureteroureterostomy, was performed to correct the anomaly.
The patient experienced a complete resolution of symptoms post-surgery.

Implications:

This case highlights the importance of considering rare congenital anomalies in the differential diagnosis of flank pain.
Laparoscopic ureteroureterostomy is an effective treatment for symptomatic transcaval ureter.
Successful surgical correction can lead to long-term symptom resolution and improved quality of life.