DOI: https://dx.doi.org/10.18203/2320-6012.ijrms20223014
Published: 2022-11-25

Laparoscopic ureteral antero-position in a retrocaval ureter: a case report and review

Jorge A. Castro-Flores, Diana E. Campos-Lopez, Cristopher Cardenas-Cruz, Jose de Jesus Vazquez-Hernandez, Mauricio Porras-Loya, Celeste Espinosa-Coria, Alejandro Arias-Mendoza, Rodrigo Rueda de Leon-Serna

Abstract


Retrocaval ureter is a rare congenital anomaly due to altered development of the vasculature, in which the ureter passes behind the inferior vena cava. This is often secondary vascular variants. Here we present a case about a 41-year-old woman with pain in the right renal fossa, stenotic retrocaval ringlet was established by CT scan. RG showed 43.3 ml/min with obstructive pattern and a bordering left renal exclusion. A laparoscopic transperitoneal approach was realized. Right pyeloureteromy and anteroposition was done. The patient evolved satisfactorily, showed no signs of inflammatory systemic response and continued under post-surgical surveillance until drainage was removed, with progressively diminished serohematic output. Laparoscopic ureteral antero-position with pyeloureterotomy is considered the treatment of choice because it’s a less invasive procedure. We recommend the laparoscopic approach because of a low postsurgical complications risk.


Keywords


Retrocaval ureter, Hydronephrosis, Ureteral catheter, Pelvic ureteric junction

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