biostudies-literatureUnknown59Al-Shalah MI<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 highlights the challenge of accurately diagnosing retrocaval ureter, especially type, based on initial radiological images.Urology case reports102936https://www.ebi.ac.uk/biostudies/studies/S-EPMC11782891biostudies-literatureRight retrocaval ureter type 2 with left atrophied kidney: A rare case report.PMC11782891Altawallbeh ZFAbulawi RBSaad MAAlnajada LAl Sharqi RYAlfreahat AMYAl-Shalah MIHanafi YAAlzawahreh MKfalseRight retrocaval ureter type 2 with left atrophied kidney: A rare case report.<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 highlights the challenge of accurately diagnosing retrocaval ureter, especially type, based on initial radiological images.2025-01-01T00:00:00Z2025 Mar2025-04-04T22:23:41.829Z2025-04-04T22:23:41.829ZS-EPMC117828913989799510.1016/j.eucr.2025.102936