The Retrocaval ureter is an embryological disorder in which the right ureter is trapped behind the inferior vena cava by the abnormal development of the abdominal blood vessels. This entity can be asintomatic or as severe as hydronephrosis with deterioration of the renal function. The surgical treatment should be performed by correcting the basic anatomical abnormality, this alleviating obstruction and avoiding deterioration of the renal function of the patient. The case of a 43-year-old man with history of colic pain of mode rate intensity, located in the right lower quad rant without irradiation associated with nausea and vomits of alimentary content, was presented. The initial diagnosis was ureteral lithiasis and was treated with double J catheter. The images resulting from the excretory urography, retrograde pyelography and computerized axial tomography were compatible with retrocaval ureter. Finally treatment was end to end anastomosis with position of a double J catheter.
Downloads
Download data is not yet available.
References
Silva J, Brum F, Sityá C, Camillo C, Borsatto W. Ureter retrocava. Rev Bras Med 1999 Nov, 56: 17-20.
Carrion H, Gatewood J, Politano V, Morillo G, Lynne C. Retrocaval ureter: report of 8 cases and the surgical management. J Urol 1978; 121:514-7.
Rubinstein 1, Cavalcanti A, Canalini A, Freitas M, Accioly P. Left retrocaval ureter associated with inferior vena caval duplication. J Urol 1999; 162: 1373.
Fukuoka H, Fukushima N, Uekane K, Higurashi M. Retrocaval ureter with recurrent pielonephritis. Ginecol Obstet Invest 1992; 34:57-60.
Xiaodong Z, Shukun H, Jichuan Z, Xiaofeng W, Guangdong M, Xingke Q. Diagnosis and treatment of retrocaval ureter. Eur Urol 1990; 18: 207-210.
Tanagho E, McAninch .Trastornos de uréter y la unión ureteropélvica. En: Kogan B, Urología General de Smith 11ma ed. México: El Manual Moderno; 1997. p.641-2.
Campbell, M. Urology. 6ta ed . Phil adelphia: WB Saunders Co; 1992. p.540-1.
Primus G, Koop W. Retrocaval ureter: a rare anomaly. Int Urol Nephrol 1986; 18 (3):277-82.
Watanabe M, Kawamura S, Nakada T, Ishii N, Hirano K, Numasawa K, et al. Left preureteral vena cava associated with partial situs inversus . J Urol 1991; 145:1047.
Narbon ES, Torrent Jr, Juan II , Frances AS, Petró JA. Ureter Retrocavo: aportación de un caso. Arch Esp Urol 1980; 10:365-74.
Beltmont IG, Pascual AS, Cuerpo EG, Rodríguez L, Barrilero AE. Malformaciones de la vena cava inferior: el uréter retrocavo. Arch Esp Urol 1994; 47:647-55.
