scholarly journals Retrocaval Ureter: Report of Two Cases

2019 ◽  
Vol 2019 ◽  
pp. 1-3 ◽  
Author(s):  
Henry Atawurah ◽  
Patrick Opoku Manu Maison ◽  
Mohammed Owusu-Ansah ◽  
Alvin Asante-Asamani

Retrocaval ureter (RCU) is a rare congenital anomaly in which the ureter passes posterior to the inferior vena cava (IVC). A little over 200 cases have been reported worldwide since Hochstetter’s first report in 1893. We present two cases of retrocaval ureter which were successfully managed at the Cape Coast Teaching Hospital in Ghana. Case 1. A 55-year-old woman presented with a history of dull right flank pain of 2 years duration. Physical examination and basic laboratory investigations performed on her were normal. Abdominal ultrasound showed right hydronephrosis and a retrograde right ureteropyelogram (RPG) showed right hydroureteronephrosis with an “S” shaped proximal ureter. A diagnosis of retrocaval ureter was made and confirmed at surgery. Case 2. A 25-year-old man presented with dull intermittent right flank pain of 1 year duration. Clinical examination and laboratory investigation were normal. Abdominal ultrasound showed right hydronephrosis and a CT urogram made a diagnosis of retrocaval ureter which was confirmed at surgery. Conclusion. Retrocaval ureter is a rare congenital anomaly that is now increasingly being reported. Surgical treatment of symptomatic cases successfully relieves symptoms.

2019 ◽  
Vol 6 (9) ◽  
pp. 3427
Author(s):  
Narsinha Vamanrao Kulkarni ◽  
Vikram R. Sarda ◽  
Kartik Chandrakant Gupta

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. 


2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Anees Dudekula ◽  
Sonali D. Prabhu

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.


2013 ◽  
Vol 02 (01) ◽  
pp. 044-047
Author(s):  
Margaret Chinnappan ◽  
M. Elangovan

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.


2020 ◽  
Vol 21 (2) ◽  
pp. 164-165
Author(s):  
Md Nasir Uddin ◽  
MM Hasan ◽  
Fahmida Bayes Kakan ◽  
Sarwar Hossain Khan

Male patient 46 years of age presented with history of Laparoscopic A-H pyeloplasty with DJ stenting for left side hydronephrosis due to PUJ obstruction. After stent removed he experienced intermittent flank pain, discomfort with fullness sensation. On examination there was mild left renal angle tenderness. Urinalysis showed RBC. USG revealed moderate left hydronephrosis. CT urogram showed left side gross HDN with 5 mm PUJ stone. Tc-99m DTPA renal scan revealed partial obstruction. After counseled and exploration founded an impacted PUJ stone. During removal of PUJ stone, identified a suture material embedded by the stone. After removed the stone,PUJ still narrowed. Then A- H pyeloplasty done with placed a D-J stent in situ. The patient had a good post-operative recovery. Bangladesh Journal of Urology, Vol. 21, No. 2, July 2018 p.164-165


2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Ingo Nolte ◽  
Flavien Mauler ◽  
Tomás Sánchez

Coalition between the pisiform and the hamate is a rare congenital anomaly, often presenting as an asymptomatic incidental finding on radiographs. In some cases, it may become symptomatic, typically after trauma. We present a 13-year-old patient, with no history of trauma, presenting a bilateral painful coalition of the pisiform and hamate. Both of which were treated with excision of the pisiform resulting in complete pain relief. Pisiform-hamate coalition is a rare condition, which can become symptomatic even without any trauma or overuse activity, and is an important differential diagnosis in ulnar-sided wrist pain.


2016 ◽  
Vol 10 (1) ◽  
Author(s):  
Naeem Ahmad Khan ◽  
Asma Abdul Razzaq ◽  
Mirrat Imtiaz ◽  
Khalid Rehman Yousaf, ◽  
Nasir Raza Zaidi

A 23 years old man presented in emergency with acute onset of pain in the centre of abdomen. He had a history of pain in abdomen & vomiting off and on for one week only. In emergency he was investigated by plain X-Ray abdomen (erect) and other routine laboratory tests. On plain X-ray abdomen multiple air fluid levels were noted & laboratory investigations were within normal limits. He was advised routine abdominal ultrasound which revealed a gut mass measuring about 8x6.5cm showing multilayered pattern. The mass was mobile while pressing with ultrasound probe. The appearances were suggestive of Ileoileal Intussusception (rare variety of intussusception). Barium follow through was done which revealed typical coil spring appearance indicative of Ileoileal intussusception. Surgery was done which confirmed the ultrasound & Barium study findings. There was another finding on surgery after the reduction of intussusception. A rounded mass was seen at the site of intussusception which was found to be the leading factor for this ileo-ilea/ intussusception. Resection and end to end anastomosis was done. On histopathology this mass was turned out to be Fibroliposarcoma.


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