Abstract
Left retrocaval ureter is an extremely rare congenital malformation which is associated
with situs inversus, duplicated or translated inferior vena cava (IVC). We report
a female adolescent who presented with a history of intermittent, colicky lumbar pain.
Diagnostic workup revealed left retrocaval ureter and left ureterohydronephrosis.
The girl underwent laparoscopy. The renal pelvis and ureter posterior to the vena
cava were dissected, transected at the caudal point of the dilated ureteral segment,
and uncrossed and repositioned lateral to the vena cava. Ureteroureterostomy was performed
over a double-J ureteral stent after spatulation of the distal ureter. The postoperative
course was uneventful and the ureteral stent removed after 5 weeks. During follow-up,
the patient is symptom-free. Our case demonstrates that our laparoscopic approach
is feasible in this rare anatomic anomaly.
Keywords
left retrocaval ureter - situs inversus - fish hook sign - laparoscopic ureteroureterostomy
- left circumcaval ureter
