CT diagnosis of circumcaval ureter

Lautin, Everett M.; Haramati, Nogah; Frager, David; Friedman, AC; Gold, Kathryn A.; Kurtz, A B; Self, J

doi:10.2214/ajr.150.3.591

Cited by 33 publications

(16 citation statements)

References 9 publications

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“…Medial deviation of the ureter in the lumbar region may be caused by retroperitoneal fibrosis, a retroperitoneal mass, previous surgery as well as by circumcaval ureter [3]. Retrocaval ureter may be asymptomatic or cause symptoms such as flank pain, urinary tract infection, hematuria, or calculus formation [7,8].…”

Section: Discussionmentioning

confidence: 99%

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Circumcaval Ureter - MDCT & Retrograde Pyelography Features

Kumar¹

2017

CTCMI

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The circumcaval ureter is a rare congenital anomaly usually associated with upper urinary tract hydronephrosis. Although it is a congenital anomaly, patients usually do not present with symptoms until the 3 rd and 4 th decades of life. The Patients main symptoms include right loin pain, recurrent urinary tract infections (UTI) and hematuria. Its rarity and non-specific presentation pose a challenge to surgeons and radiologists in making the correct diagnosis. Differentiation from other causes of urinary tract obstruction, especially the more common urolithiasis, is important for successful surgical management. Current practice has seen Multidetector Computed Tomography (MDCT) rapidly replaces Intravenous Urography (IVU) in the assessment of patients with hydronephrosis. We report a case of Type 1 Circumcaval ureter in a 36 years old female presenting with recurrent urinary tract infection (UTI) & right loin pain, referred for MDCT & Retrograde Pyelography (RGP).

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Section: Discussionmentioning

confidence: 99%

“…The incidence was reported to be approximately 1 in 1000, with male predominance [2]. Retrocaval ureter results from an anomaly in the development of the inferior vena cava [3].…”

Section: Introductionmentioning

confidence: 99%

Circumcaval Ureter - MDCT & Retrograde Pyelography Features

Kumar¹

2017

CTCMI

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“…11 Congenital forms of scoliosis have also been reported to cause a lateral displacement of structures such as the inferior vena cava. 12 In these cases, access to and manipulation of the ureter can be severely limited because of the significant curvature of the spine and pelvic tilt (Fig. 1).…”

Section: Discussionmentioning

confidence: 99%

Ureteroscopy in Pediatric Patients with Spinal Abnormalities

Colangelo

Kaplan²,

Palazzi³

et al. 2013

Journal of Endourology

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“…L'incidence démontrée de l'uretère rétrocave est de 0,9-2 sur 1000 cas, étant 2,8 à 4 fois plus fréquente chez la population male, ce qui a été également confirmé dans notre série [8,9].…”

Section: Discussionunclassified