Circumcaval Ureter - Congenital Vascular Cause Of Obstructive Hydronephrosis.

Posted By Dhruv Taneja
Circumcaval Ureter - Congenital Vascular Cause Of Obstructive Hydronephrosis.

Circumcaval ureter is a relatively uncommon congenital cause of obstructive hydronephrosis resulting from anomalous formation of the infra renal inferior vena cava (IVC). It usually presents in 3rd – 4th decade and affects males more than females. Treatment involves surgical correction in symptomatic patients whereas conservative management and follow up is suggested in asymptomatic patients. We report a case of 25 year old male presenting with right flank pain and symptoms of recurrent urinary tract infection. CT (Computerized tomography) urography demonstrated the ureter encircling the IVC with a normal distal course lateral to the IVC. Laparoscopic transposition with end-to-end anastomosis of the right ureter was performed.

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  • Tony 2015-05-29 21:40:29

    You call it a circumcaval ureter - in fact it's a retrocacval uereter, which is a known anomaly. Nice image examples, but not case report worthy.

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