A missed diagnosis of retrocaval ureter; case report and review of the literature.

漏诊腔静脉后输尿管 ； 病例报告和文献复习。

• 发表时间: Mar 2023
• 来源期刊: Urol Case Rep
• DOI: 10.1016/j.eucr.2023.102364
• PMID: 36915706
• 文章类型: Case Reports
• 作者列表: Abduldaem O,Banihani O,Alkeraithe F,Abasher A

关键词: CT, Computed tomography; Hydronephrosis; IVC, Inferior vena cava; IVU, Intravenous urogram; RCU, Retrocaval ureter; Reconstruction; Retrocaval

Abstract

The retrocaval ureter is an uncommon congenital anomaly due to an abnormal development of the inferior vena cava. Our case describes an 8 year-old boy who was referred to our center as a case of ureteropelvic junction obstruction with persistent hydronephrosis after pyeloplasty. Retrograde pyelogram showed features of retrocaval ureter which was managed surgically with constructive repair of the ureter. The low clinical incidence may be due to a number of asymptomatic cases that are not diagnosed in the patient\'s lifetime.

摘要

由于下腔静脉的异常发育，腔后输尿管是一种罕见的先天性异常。我们的病例描述了一个8岁的男孩，他被称为肾盂成形术后肾盂输尿管连接部梗阻伴持续性肾积水的病例。逆行肾盂造影显示了腔静脉后输尿管的特征，并通过手术对输尿管进行了建设性修复。低临床发病率可能是由于许多无症状病例在患者的一生中没有被诊断出来。