Retrocaval ureter presenting at 6 years of age in a girl child——An extreme rarity
Pradeep Kajala, Kamal Rattana, Vijender Sangwanb, Namita Bhutanic
a Department of Paediatric Surgery, Pt BDS PGIMS Rohtak, Haryana, India;
b Nirvana Diagnostic Centre, Rohtak, Haryana, India;
c Department of Pathology, Pt BDS PGIMS Rohtak, Haryana, India
Retrocaval ureter presenting at 6 years of age in a girl child——An extreme rarity
Pradeep Kajala, Kamal Rattana, Vijender Sangwanb, Namita Bhutanic
a Department of Paediatric Surgery, Pt BDS PGIMS Rohtak, Haryana, India;
b Nirvana Diagnostic Centre, Rohtak, Haryana, India;
c Department of Pathology, Pt BDS PGIMS Rohtak, Haryana, India
摘要 Retrocaval ureter is one of the very rare congenital anomalies. We report a case of retrocaval ureter in a 6-year-old girl who presented with right flank pain and hydronephrosis. The diagnosis was made on intravenous urography which showed typical "J" shape deformity in the proximal dilated ureter with moderate hydronephrosis. CT scan delineated the course of ureter. The patient was operated and findings were confirmed. The ureter was transected near the pelvis and a pyeloureteric anastomosis with pre-caval transposition of the ureter was performed and the patient was discharged in fair health.
Abstract: Retrocaval ureter is one of the very rare congenital anomalies. We report a case of retrocaval ureter in a 6-year-old girl who presented with right flank pain and hydronephrosis. The diagnosis was made on intravenous urography which showed typical "J" shape deformity in the proximal dilated ureter with moderate hydronephrosis. CT scan delineated the course of ureter. The patient was operated and findings were confirmed. The ureter was transected near the pelvis and a pyeloureteric anastomosis with pre-caval transposition of the ureter was performed and the patient was discharged in fair health.
Pradeep Kajal, Kamal Rattan, Vijender Sangwan, Namita Bhutani. Retrocaval ureter presenting at 6 years of age in a girl child——An extreme rarity[J]. Asian Journal of Urology, 2016, 3(2): 107-109.
Pradeep Kajal, Kamal Rattan, Vijender Sangwan, Namita Bhutani. Retrocaval ureter presenting at 6 years of age in a girl child——An extreme rarity. Asian Journal of Urology, 2016, 3(2): 107-109.
Resnick MI, Kurush ED. Extrinsic obstruction of the ureter. In:Walsh P, Retik AB, Stamey TA, Vaughan Jr ED, editors. Campbell's urology. 6th ed., vol. 1. Philadelphia:WB Saunders; 1992. p. 533-69.
[2]
Helsin JE, Mamonas C. Retrocaval ureter. Report of four cases and review of literature. J Urol 1951;65:212.
[3]
Watanabe M, Kawamura S, Nakada T, Ishii N, Hirano K, Numasawa K, et al. Left preureteral vena cava (retrocaval or circumcaval ureter) associated with partial situs inversus. J Urol 1991;145:1047-8.
[4]
Rubinstein I, Calvacanti AG, Canalini AF, Freitas MA, Accioly PM. Left retrocaval ureter associated with inferior vena cava duplication. J Urol 1999;162:1373-4.
[5]
Bateson EM, Atkinson D. Circumcaval ureter:a new classification. Clin Radiol 1969;20:173-7.
[6]
Kenawi MM, Williams DI. Circumcaval ureter. A case report of four cases in children with a review of literature and newclassification. Br J Urol 1976;48:183.
[7]
Ishitoya S, Arai Y, Okubo K, Suzuki Y. Left retrocaval ureter associated with the Goldenhar syndrome (brachial arch syndrome). J Urol 1997;158:572-3.
[8]
Kokubo T, Okada Y, Yashiro N, Itai Y, Iio M. CT diagnosis of retrocaval ureter associated with double inferior vena cava:report of a case. Radiat Med 1990;8:96-8.
[9]
Richard N, Schlussel, Relik Alan B. Anomalies of upper urinary tract-anomalies of ureteric position. In:Walsh PC, Retik AB, Vaughan Jr ED, editors. Campbells urology. 7th ed. Philadelphia:WB Saunders; 1998. p. 1850-7.
[10]
Mugiya S, Suzuki K, Ohhira T, Un-No T, Takayama T, Fujita K. Retroperitoneoscopic treatment of a retrocaval ureter. Int J Urol 1999;6:419-22.
Christopher Hartman, Nikhil Gupta, David Leavitt, David Hoenig, Zeph Okeke, Arthur Smith. Advances in percutaneous stone surgery[J]. Asian Journal of Urology, 2015, 2(1): 26
-32
.
