RETROCAVAL /CIRCUMCAVAL URETER: RARE CONGENITAL ANOMALY OF URETER OR INFERIOR VENA CAVA

Abstract

Retrocaval ureter also referred to as pre-ureteral vena cava is a rare congenital anomaly with the ureter passing posterior to the inferior vena cava and coming medial to it. Though it is a congenital anomaly, patients do not normally present with symptoms until the 2nd and 3^rd decades of life from various presenting complain resulting due to hydronephrosis. We present a case reported in Bhavnagar, Gujarat; a 19-year-old male presented with right flank pains of 2 yr and associated right moderate hydronephrosis. Diagnoses were confirmed with intravenous pyelography (IVP) and computed tomography of abdomen with IVP. And patient was treated with open surgery, including resection of stenosed retrocaval ureter and spatulated end to end uretero-uereterostomy in front of IVC.