Transcaval ureter: a rare embryological anomaly causing obstructive uropathy

Giddy, Stephanie, Thangasamy, Isaac and Vega Vega, Antonio (2015) Transcaval ureter: a rare embryological anomaly causing obstructive uropathy. BMJ Case Reports, 2015 . doi:10.1136/bcr-2014-208076

Author Giddy, Stephanie
Thangasamy, Isaac
Vega Vega, Antonio
Title Transcaval ureter: a rare embryological anomaly causing obstructive uropathy
Journal name BMJ Case Reports   Check publisher's open access policy
ISSN 1757-790X
Publication date 2015-02-18
Sub-type Other
DOI 10.1136/bcr-2014-208076
Open Access Status Not Open Access
Volume 2015
Total pages 1
Place of publication London, United Kingdom
Publisher B M J Group
Collection year 2016
Language eng
Abstract A 21-year-old woman presented with a longstanding history of episodic right flank pain related to fluid consumption and recurrent urinary tract infections. On examination, there was right costovertebral angle tenderness. Renal tract ultrasound demonstrated hydronephrosis and CT urography confirmed transcaval ureter. The patient's clinical presentation was likely due to obstruction associated with the right ureter passing through the opening created by the duplicated segment of the inferior vena cava. While asymptomatic transcaval ureter can be managed conservatively, severe symptoms or complications of ureteric obstruction may require surgical treatment. In this case, treatment comprised a laparoscopic ureteroureterostomy with an end-to-end anastomosis between the proximal and distal sections of the right ureter. The patient's postoperative recovery was uneventful and she reported resolution of the flank pain during the one year of follow-up.
Q-Index Code CX
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Other
Collection: School of Medicine Publications
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