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Right retrocaval ureter type 2 with left atrophied kidney: A rare case report.


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.

SUBMITTER: Al-Shalah MI 

PROVIDER: S-EPMC11782891 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature

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<h4>Case</h4>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.<h4>Outcome</h4>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.<h4>Conclusion</h4>This case hig  ...[more]

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