Mustafa I. Al-Shalah , Zaid F. Altawallbeh , Rashed Yousef Al Sharqi , Mohammad kh Alzawahreh , Raed Bassam Abulawi , Mohab Alsaid Saad , Yousif Ahmad Hanafi , Laith Alnajada , Ala' Mohammad Yaser Alfreahat
{"title":"Right retrocaval ureter type 2 with left atrophied kidney: A rare case report","authors":"Mustafa I. Al-Shalah , Zaid F. Altawallbeh , Rashed Yousef Al Sharqi , Mohammad kh Alzawahreh , Raed Bassam Abulawi , Mohab Alsaid Saad , Yousif Ahmad Hanafi , Laith Alnajada , Ala' Mohammad Yaser Alfreahat","doi":"10.1016/j.eucr.2025.102936","DOIUrl":null,"url":null,"abstract":"<div><h3>Case</h3><div>A 22-year-old male smoker presented with intermittent right flank pain lasting over a year. He had a history of atrophied left kidney and gout. Physical exam revealed mild right renal angle tenderness.</div></div><div><h3>Outcome</h3><div>Initial imaging, pointed to a diagnosis of ureteropelvic junction stenosis. During surgery, a type two retrocaval ureter was discovered. Transposition pyelo-pyelostomy was performed to repair the ureter, and a double-J stent was inserted.</div></div><div><h3>Conclusion</h3><div>This case highlights the challenge of accurately diagnosing retrocaval ureter, especially type, based on initial radiological images.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102936"},"PeriodicalIF":0.4000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11782891/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Urology Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2214442025000075","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/11 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
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Abstract
Case
A 22-year-old male smoker presented with intermittent right flank pain lasting over a year. He had a history of atrophied left kidney and gout. Physical exam revealed mild right renal angle tenderness.
Outcome
Initial imaging, pointed to a diagnosis of ureteropelvic junction stenosis. During surgery, a type two retrocaval ureter was discovered. Transposition pyelo-pyelostomy was performed to repair the ureter, and a double-J stent was inserted.
Conclusion
This case highlights the challenge of accurately diagnosing retrocaval ureter, especially type, based on initial radiological images.
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