Retrocaval Ureter: A Case Report

Case Report

Austin J Urol. 2021; 7(2): 1072.

Retrocaval Ureter: A Case Report

Hegazi A*

Chief Resident of Urology, Sudan Medical Specialization Board, Khartoum, Sudan

*Corresponding author: Albra Hegazi, Chief Resident of Urology, Sudan Medical Specialization Board, Khartoum, Sudan

Received: October 08, 2021; Accepted: November 03, 2021; Published: November 10, 2021


Retrocaval ureter is a rare congenital anomaly of the IVC, patient of this condition manly presents with right flank pain in our case we report in Khartoum, Sudan a 37-year-old man, whose presented with features are suggestive of retrocaval ureter, which is diagnosed by a computed tomography and we treated with open surgical repair. In conclusion, this is one of the rare and demanding cases for urologists that is need further care and management.

Keywords: Retrocaval ureter; Hydronephrosis; Congenital venous


Retrocaval or circumcaval ureter is first described by Hochstetter in 1893, which is one of the rare congenital venous anomalies. In this condition, the right ureter goes posterior to the inferior vena cava and partially encompasses it [1].

Patients who suffer from RCU usually present at there forth or fifth decades with flank or a dull aching pain [2].

Most of patients present with right loin pain and obstructive uropathy symptoms as a result of dilated proximal ureter and hydronephrosis [2].

A computed tomography is investigation of choice in case of retrocaval ureter [1].

We report a 37-year-old male who presented with Pelvouretiric junction obstruction as a result of retrocaval ureter.

Case Presentation

A 37-year-old male, come to our urology outpatient in with right loin pain for one month. The pain not associated with fever, rigor or hematouria along with no LUTS. On examination there, a mild tenderness on his right flank. His past medical history was unremarkable. There is no significant abnormality vale on his laboratory tests. A CTU showed a ‘S’-shaped deformity in the proximal dilated right ureter with moderate hydronephrosis (Figure 1 and 2), therefore, retrocaval ureter was confirm and surgical repair was preformed.

Citation: Hegazi A. Retrocaval Ureter: A Case Report. Austin J Urol. 2021; 7(2): 1072.