scholarly journals Retrocaval ureter - a case report

2013 ◽  
Vol 02 (01) ◽  
pp. 044-047
Author(s):  
Margaret Chinnappan ◽  
M. Elangovan
Keyword(s):  
Congenital Anomaly ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Proximal Part ◽  
Urinary System ◽  
Rare Congenital Anomaly ◽  
Live Births ◽  
Retrocaval Ureter ◽  
The Right

AbstractRetrocaval ureter is a rare congenital anomaly which has a incidence of occurence of one in 1500 live births. It is known to occur 2.8 times more commonly in males than females. While carrying out a study on congenital anomalies in urinary system in a collection of still born fetuses, a case of retrocaval ureter was noticed in a still born male foetus. In Retrocaval ureter, ureter is S shaped on the right side and a part of inferior vena cava is anterior to the proximal part of the ureter. Here the development of ureter is normal. Whereas the development of inferior vena cava is abnormal.

scholarly journals Retroperitoneal Laparoscopic Surgery for Retrocaval Ureter: A case Series

KYAMC Journal ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. 173-176
Author(s):  
Md Fazal Naser ◽  
Mizanur Rahman ◽  
Md Rokonuzzaman Khan ◽  
Md Mostafizur Rahman ◽  
Md Muazzem Hossain
Keyword(s):  
Congenital Anomaly ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Intraoperative Complications ◽  
Operating Time ◽  
Vena Cava ◽  
Case Series ◽  
Psoas Muscle ◽  
Open Conversion ◽  
Retrocaval Ureter

Background: Retrocaval ureter also referred to as circumcaval ureter or preureteral venacava is a rare congenital anomaly with the ureters passing posterior to the inferior vena cava (IVC). The ureter classically course medially behind the inferior venacava winding around it and then passes laterally in front of it to then course distally to the bladder. Though it is a congenital anomaly, patients do not normally present with symptoms until the 3rd and 4th decades of life from a resulting hydronephrosis. This hydronephrosis may be due to kinking of the ureter. The ureteric segment is a dynamic or compression against the psoas muscle. It was initially considered as aberration in ureteric development; however current studies in embryology have led to it being considered as an aberration in the development of the inferior vena cava. Objectives: The aim of our study was to explore the safety, feasibility and usefulness of retroperitoneoscopic surgery for retrocaval ureter performed in a single centre and to assess the short-term outcomes of patients treated with this surgical approach. Materials and methods: Eight patients underwent retroperitoneoscopic transposition of ureter between March 2014 and November 2016, A 3-port, ballon-dissecting, retroperitoneal approach was used, no open conversion was required. Follow-up studies were performed with intravenous urography and ultrasonography. Results: Mean operating time was 121 minutes (range 92-178) and mean anastomotic time was 56 minutes for all cases. Blood loss was minimum. None of the patients required blood transfusion. No intraoperative complications occurred. Hydronephrosis in all patients were decreased substantially after surgery. Conclusion: Our results have demonstrated that retroperitoneoscopic transposition of ureter is an excellent minimally invasive treatment option for a retrocaval ureter that can be accomplished quickly and safely. KYAMC Journal Vol. 9, No.-4, January 2019, Page 173-176

scholarly journals Horseshoe adrenal gland associated with type 1 diastematomyelia in an asymptomatic adult

2021 ◽  
pp. 20200188
Author(s):  
Ruhaid Khurram ◽  
Faisal Ahmadi ◽  
Raunak Poonawala ◽  
Ahmad Samim Yasin
Keyword(s):  
Congenital Anomaly ◽  
Adrenal Gland ◽  
Inferior Vena Cava ◽  
Rare Case ◽  
Inferior Vena ◽  
Vena Cava ◽  
Rare Congenital Anomaly ◽  
Asymptomatic Adult ◽  
Neonates And Infants

A horseshoe adrenal gland is a rare congenital anomaly found almost exclusively in neonates and infants based on autopsy studies. It is a term used to describe a solitary adrenal gland situated in the midline, posterior to the inferior vena cava and abdominal aorta. To date, in the literature, there have been very few cases documented in adults and they have also been reported to be associated with other co-existing intra-abdominal, vascular and vertebral congenital anomalies. We describe a rare case of an asymptomatic adult patient who was incidentally found to have a horseshoe adrenal gland as well as a Type 1 diastematomyelia.

scholarly journals Retrocaval ureter: a rare cause of urinary tract obstruction

2019 ◽  
Vol 6 (9) ◽  
pp. 3427
Author(s):  
Narsinha Vamanrao Kulkarni ◽  
Vikram R. Sarda ◽  
Kartik Chandrakant Gupta
Keyword(s):  
Congenital Anomaly ◽  
Urinary Tract ◽  
Inferior Vena ◽  
Urinary Tract Obstruction ◽  
Vena Cava ◽  
Intravenous Urography ◽  
Flank Pain ◽  
Ureteric Obstruction ◽  
Rare Congenital Anomaly ◽  
Retrocaval Ureter

Retrocaval ureter is an uncommon cause of ureteric obstruction due to a rare congenital anomaly of inferior vena cava. We report a case of 23 year old male who presented with right flank pain and was diagnosed with ultrasound and intravenous urography. He underwent open retroperitoneal ureteroureterostomy. 

scholarly journals A Rare Case of Right Retrocaval Ureter with Duplication of Infrarenal IVC

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Anees Dudekula ◽  
Sonali D. Prabhu
Keyword(s):  
Congenital Anomaly ◽  
Inferior Vena ◽  
Middle Age ◽  
Vena Cava ◽  
Psoas Muscle ◽  
Age Group ◽  
Rare Type ◽  
Rare Congenital Anomaly ◽  
Retrocaval Ureter ◽  
Loin Pain

Retrocaval ureter, also known as circumcaval ureter, is a rare congenital anomaly which commonly presents with loin pain in middle age group. Here, ureter passes between the inferior vena cava (IVC) and psoas muscle and gets compressed. Duplication of IVC is another rare congenital anomaly in the development of IVC. We present a case of a 49-year-old male who presented with loin pain and upon thorough investigation was found to have retrocaval ureter along with duplication of the infrarenal IVC. We bring forward this rare type of combination of two congenital malformations.

Double Inferior Vena Cava (IVC) With Intrahepatic Interruption, Hemiazygos Vein Continuation, and Intrahepatic Venous Shunt

2017 ◽  
Vol 51 (1) ◽  
pp. 38-42 ◽  
Author(s):  
Hilal Sahin ◽  
Yeliz Pekcevik ◽  
Ramazan Aslaner
Keyword(s):  
Inferior Vena Cava ◽  
Renal Vein ◽  
Inferior Vena ◽  
Left Renal Vein ◽  
Vena Cava ◽  
Embryological Development ◽  
Rare Congenital Anomaly ◽  
Venous Shunt ◽  
Double Inferior Vena Cava ◽  
The Right

The duplication of the inferior vena cava (IVC) is a rare congenital anomaly, which also has some variations regarding the complex embryological development of the IVC. In the typical form, infrarenal IVC segments are duplicated and the left IVC joins the left renal vein, which crosses anterior to the aorta in the normal fashion to join the right IVC. In variant forms, the interruption of the intrahepatic segment of the IVC, azygos or hemiazygos continuation, or retroaortic course of the renal vein may be seen. An intrahepatic venous shunt accompanying a double IVC variant is an extremely rare anomaly. We report a case of 40-year-old female patient with double IVC, hemiazygos continuation, intrahepatic IVC interruption, and a transhepatic venous shunt.

scholarly journals Emphysematous pyelonephritis with air bubble in the inferior vena cava

2020 ◽  
Vol 26 (1) ◽  
Author(s):  
Tiffany A. Perkins ◽  
Alberic Rogman ◽  
Murali K. Ankem
Keyword(s):  
Septic Shock ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Rare Presentation ◽  
Emphysematous Pyelonephritis ◽  
Case Presentation ◽  
Air Bubble ◽  
First Case ◽  
The Right

Abstract Background Emphysematous pyelonephritis (EPN) with gas in the inferior vena cava (IVC) is a rare presentation and to our knowledge, this is the first case report in the urologic literature. Case presentation A 35-Year-old obese diabetic Hispanic female presented to the emergency room with a clinical picture of septic shock. Prompt computerized tomography scan revealed EPN with gas throughout the right renal parenchyma and extending to the right renal vein, IVC, and pulmonary artery. She died before surgical intervention Conclusion This case demonstrates that patients presenting with severe EPN have a high mortality risk and providers should acknowledge that septic shock, endogenous air emboli, or a combination of both could result in cardiovascular collapse and sudden death.

Recanalization and Reconstruction of a Chronically Occluded Inferior Vena Cava Through an Existing Transjugular Intrahepatic Portosystemic Shunt in the Setting of Budd-Chiari Syndrome

2021 ◽  
pp. 153857442110020
Author(s):  
Reza Talaie ◽  
Hamed Jalaeian ◽  
Nassir Rostambeigi ◽  
Anthony Spano ◽  
Jafar Golzarian
Keyword(s):  
Inferior Vena Cava ◽  
Transjugular Intrahepatic Portosystemic Shunt ◽  
Inferior Vena ◽  
Vena Cava ◽  
Portosystemic Shunt ◽  
Hepatic Veins ◽  
Budd Chiari Syndrome ◽  
Chiari Syndrome ◽  
Intrahepatic Portosystemic Shunt ◽  
The Right

Budd-Chiari syndrome (BCS) results from the occlusion or flow reduction in the hepatic veins or inferior vena cava and can be treated with transjugular intrahepatic portosystemic shunt when hepatic vein recanalization fails.1-3 Hypercoagulable patients with primary BCS are predisposed to development of new areas of thrombosis within the TIPS shunt or IVC. This case details a patient with BCS, pre-existing TIPS extending to the right atrium, and chronic retrohepatic IVC thrombosis who underwent sharp recanalization of the IVC with stenting into the TIPS stent bridging the patient until his subsequent hepatic transplantation.

Stent Graft Placement in the Top-Down Direction for Treating Traumatic Intra-Abdominal Suprahepatic Inferior Vena Cava Rupture: A Case Report

2021 ◽  
pp. 152660282110250
Author(s):  
Yun Chul Park ◽  
Hyoung Ook Kim ◽  
Nam Yeol Yim ◽  
Byung Chan Lee ◽  
Chan Park ◽  
...  
Keyword(s):  
Case Report ◽  
Inferior Vena Cava ◽  
Stent Graft ◽  
Inferior Vena ◽  
Vena Cava ◽  
Endovascular Management ◽  
Top Down ◽  
Life Threatening ◽  
The Right ◽  
Suprahepatic Inferior Vena Cava

Purpose The treatment of suprahepatic inferior vena cava (IVC) ruptures results in high mortality rates due to difficulty in performing the surgical procedure. Here, we present a case of successful endovascular management of a life-threatening suprahepatic IVC rupture with top-down placement of a stent graft. Case Report A 33-year-old woman was involved in a traffic accident and presented to our emergency department due to unstable hemodynamics after blunt abdominal wall trauma. Computed tomography (CT) revealed massive extravasation of contrast agent from the suprahepatic IVC, which suggested traumatic suprahepatic IVC rupture. To seal the IVC, to salvage major hepatic veins, and to prevent migration of the stent graft into the right side of the heart after placement, an aortic cuff with a proximal hook was introduced in a top-down direction via the right internal jugular vein. After closure of the injured IVC, the patient’s hemodynamics improved, and additional laparotomy was performed. After 3 months of trauma care, the patient recovered and was discharged. Follow-up CT after 58 months showed a patent stent graft within the IVC. Conclusion Endovascular management with top-down placement of a stent graft is a viable option for emergent damage control in patients with life-threatening hemorrhage from IVC rupture.

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