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2.1
Retrocaval Ureter
Ureter Postcaval

Presentation

Although it is a congenital anomaly it normally presents in the third and fourth decade of life as typified by the ages of the presented cases. [ncbi.nlm.nih.gov]

Entire Body System

  • Soft Tissue Mass

    tissue mass occupying the dilated renal pelvis (*). b) Axial image caudal to (a) demonstrates dilated proximal part of retrocavacal ureter (*). [latunisiemedicale.com]

Gastrointestinal

  • Right Flank Pain

    She had a resolution of the right flank pains and hydronephrosis but has since been lost to follow up. [ncbi.nlm.nih.gov]

    Symptoms of right ureteral obstruction Right flank pain Hydronephrosis Pylonephritis fever 8.  Right ureter’s course swings medially over pedicle of L3/4  Passes behind IVC  Then exits anteriorly between IVC and aorta returning to its normal position [slideshare.net]

Skin

  • Flushing

    The surgical area was flushed and checked for no bleeding, a drainage tube was placed at the retroperitoneal space and the double J tube was removed with cystoscope after 1 month. [dovepress.com]

Psychiatrical

  • Suggestibility

    Other authors suggest the persistence of the posterior cardinal veins as the inferior cava vein. In both theories, failure of the development of the supracardial vein as the infra-renal IVC is common sense (1,3). [acr.amegroups.com]

    The intravenous urography (IVU) suggested the diagnosis of retrocaval right ureter, which is confirmed by magnetic resonance imaging (MR). Make us resection of the retrocaval segment and relocation of the ureter anterior to the inferior vena cava. [ncbi.nlm.nih.gov]

    We are unable to offer a more accurately descriptive term, but it must be realized that although these terms would suggest a ureteral anomaly it is actually a vascular abnormality. [jamanetwork.com]

Urogenital

  • Ureteral Disorder

    Ureteral Disorders Your kidneys make urine by filtering wastes and extra water from your blood. The urine travels from the kidneys to the bladder in two thin tubes called ureters. The ureters are about 8 to 10 inches long. [icdlist.com]

Workup

Haematological workup was normal. Ultrasonography showed hydronephrosis with antero-posterior diameter of 3.5cm associated with dilatation of upper ureter (dia-9.2 mm). Micturating cystourethrogram was done to rule out vesico ureteric reflux. [medcraveonline.com]

We present the workup on this patient as well as the management. We also present a literature review regarding this anomaly. Key words: Retrocaval ureter, circumcaval ureter. REFERENCIAS Rubinstein I, Cavalcanti AG, Canalini AF, Freitas MA. [new.medigraphic.com]

X-Ray

  • Pneumoperitoneum

    The patient is placed in a modified flank position, pneumoperitoneum created and ports inserted. The colon is mobilized to expose the retroperitoneal structures: inferior vena cava, right gonadal vein, right ureter, and duodenum. [ncbi.nlm.nih.gov]

    Pneumoperitoneum was produced by using a veress needle. 4 ports are then placed. [siiut.com]

    […] line and two fingers above the iliac crest of midaxillary line, the 10 mm casing was punctured (Figure 2), visual retroperitoneal dilator was inserted into the retroperitoneal space and dilated to expand the operative space for 5 min, then artificial pneumoperitoneum [dovepress.com]

    Once pneumoperitoneum was created, a 10 mm port was placed in the semilunar line just above the umbilicus level. A 5 mm port was placed subcostally in midclavicular line and another 5 mm on the spinoumbilical line midway. [urologyannals.com]

Serum

  • Dyslipidemia

    Case presentation We report the case of a female patient with dyslipidemia and a history of tubal ligation 30 years previously. [acr.amegroups.com]

Treatment

Its treatment is most often surgical. [ncbi.nlm.nih.gov]

Treatment of Retrocaval Ureter Surgical treatment is necessary in complications, such as intermittent flank pain, nephrolithiasis, recurrent infections or significant hydronephrosis with loss of kidney function. [urology-textbook.com]

Treatment and prognosis If treatment is required, surgical relocation of the ureter anterior to the IVC can be performed. References Related articles: Anatomy: Abdominopelvic Promoted articles (advertising) [radiopaedia.org]

The surgical treatment of the retrocaval ureter is indicated in the evidence of signs or symptoms of obstruction [4, 5, 18]. For the treatment of this condition, classical open pyeloplasty techniques had been the gold standard for many years [19]. [hindawi.com]

Prognosis

Treatment and prognosis If treatment is required, surgical relocation of the ureter anterior to the IVC can be performed. References Related articles: Anatomy: Abdominopelvic Promoted articles (advertising) [radiopaedia.org]

Treatment and prognosis If treatment is required, surgical relocation of the ureter anterior to the IVC can be performed. 0 Reply [dailyrounds.org]

Diagnosis 256 Double Urethra and Accessory Urethra 257 Incomplete Dorsal Accessory Urethrablind 258 Incomplete Dorsal Accessory UrethraCommunicating with the Urethra 259 Etiology and Pathology 261 Clinical Presentation 268 Diagnosis 270 Treatment 271 Prognosis [books.google.es]

The prognosis is excellent if treated adequately. Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest. 1. Kenawi MM, Williams DI. [jiaps.com]

Treatment and prognosis : Depends on the clinical presentation, the severity of hydronephrosis, and the impairment of renal function. [jssmcradiology.com]

Etiology

In light of the experimental studies, one of the etiologic factors seems to be maternal contact with diethylene glycol monomethyl ether or ethylene glycol monomethyl ether. [ncbi.nlm.nih.gov]

/radiography ; Male ; Time Factors ; Ureteral Obstruction/etiology/radiography/surgery ; Urography ; Vena Cava, Inferior/abnormalities Abstract : [en] Retrocaval ureter is an uncommon abnormality of the inferior vena cava, which is rarely detected in [orbi.uliege.be]

Epidemiology of Retrocaval Ureter 1:1500 Etiology of Retrocaval Ureter The ureter lies between the following fetal veins: dorsally the supracardinal vein and posterior cardinal vein, ventrally the subcardinal vein. [urology-textbook.com]

[…] and Pathology 254 Clinical Presentation and Diagnosis 256 Double Urethra and Accessory Urethra 257 Incomplete Dorsal Accessory Urethrablind 258 Incomplete Dorsal Accessory UrethraCommunicating with the Urethra 259 Etiology and Pathology 261 Clinical [books.google.es]

Epidemiology

Epidemiology of Retrocaval Ureter 1:1500 Etiology of Retrocaval Ureter The ureter lies between the following fetal veins: dorsally the supracardinal vein and posterior cardinal vein, ventrally the subcardinal vein. [urology-textbook.com]

[…] and Natural History 482 Evaluation and Nonsurgical Management of Benign Prostatic Hyperplasia 486 Minimally Invasive and Endoscopic Management of Benign Prostatic Hyperplasia 493 Retropubic and Suprapubic Open Prostatectomy 496 Epidemiology Etiology [books.google.com]

[…] detachment - occipital encephalocele Classification (Orphanet): - Rare developmental defect during embryogenesis - Rare eye disease - Rare genetic disease Classification (ICD10): - Congenital malformations, deformations and chromosomal abnormalities - Epidemiological [csbg.cnb.csic.es]

Epidemiology: Incidence: Approx 1 in 1500 people Clinically no predominance, autopsy studies document 3 to 4times male predominance. [jssmcradiology.com]

Pathophysiology

Patients demographics, pathophysiology of ureteral defect and chronic kidney disease stage (by KDIGO (7)) according to pre-surgical data Demographic and preoperative data Age, median (years) 61 Gender, n (%) Male 19 (61) Female 12 (39) Preoperative pathology [medical-dictionary.thefreedictionary.com]

Cutaneous Continent Urinary Diversion 459 Orthotopic Urinary Diversion 465 Genital and Lower Urinary Tract Trauma 468 Lower Urinary Tract Calculi 471 Development Molecular Biology and Physiology of the Prostate 476 Benign Prostatic Hyperplasia Etiology Pathophysiology [books.google.com]

CrossRef CAS PubMed Google Scholar Koff, S.A. (1990) Pathophysiology of ureteropelvic junction obstructions. Urol. Clin. North. Am. 17, 263–272. [link.springer.com]

Prevention

Diagnosis of retrocaval ureter should increase the awareness of the responsible physician on the possibility of concomitant malformations where treatment could prevent future symptoms. [ncbi.nlm.nih.gov]

Treatable - 0% Emergent - ED Care Needed - Preventable/Avoidable - 0% Emergent - ED Care Needed - Not Preventable/Avoidable - 0% Primary diagnosis of injury 0% Primary diagnosis of mental health problems 0% Primary diagnosis of substance abuse 0% Primary [codelay.com]

Centers for Disease Control and Prevention Intersex [coding-pro.com]

Prevention of neural tube defects: results of the Medical Research Council Vitamin Study. ‎ 673 ページ - National High Blood Pressure Education Program Working Group on Hypertension Control in Children and Adolescents: Update on the 1987 task force report [books.google.com]

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