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[Abnormalities of the inferior vena cava: the retrocaval ureter]
I Galmés Belmonte1, A Serrano Pascual, E García Cuerpo
1Servicio de Urología, Hospital Ramón y Cajal, Facultad de Medicina, Universidad de Alcalá de Henares, Madrid.
Abstract:
We report three cases of retrocaval ureter with a clear indication for surgery: one patient with severe hydronephrosis and two cases with mild dilatation of the renal pelvis, calyces and upper ureter, both complicated by renal stones. The initial diagnosis was based on the ultrasound and the intravenous urogram findings, and was confirmed by a retrograde pyelogram in combination with cavography and CT. All patients were submitted to surgery (1 nephrectomy and 2 uretero-ureteric anastomosis). Renal stone was resolved at the same time in one case, and by ESWL after surgery in the other.