Retrocaval ureter. Two cases report
The retrocaval ureter is a congenital malformation in which the ureter passes behind the inferior vena cava, is compressed and causes obstruction symptoms such as hydronephrosis. This work describes two clinical cases on retrocaval ureter, for exposing the experience in its diagnosis and surgical tr...
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| Format: | Article |
| Language: | Spanish |
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Centro Provincial de Información de Ciencias Médicas. Cienfuegos
2022-12-01
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| Series: | Medisur |
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| Online Access: | http://medisur.sld.cu/index.php/medisur/article/view/5653 |
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| author | Bryan Antonio Iza Jiménez Karla Lizeth Gavilanes Encalada Israel Darío Carrillo Quisnia |
| author_facet | Bryan Antonio Iza Jiménez Karla Lizeth Gavilanes Encalada Israel Darío Carrillo Quisnia |
| author_sort | Bryan Antonio Iza Jiménez |
| collection | DOAJ |
| description | The retrocaval ureter is a congenital malformation in which the ureter passes behind the inferior vena cava, is compressed and causes obstruction symptoms such as hydronephrosis. This work describes two clinical cases on retrocaval ureter, for exposing the experience in its diagnosis and surgical treatment. Different imaging tests were used to detect the anomaly, and it was found that urological computed tomography is essential to confirm the diagnosis. Since both cases presented criteria for surgical intervention, open surgery was selected, performing segmental ureterostomy and end-to-end ureteroanastomosis, with which resolution of the alteration and its symptoms was achieved. There were no intraoperative complications, and the mean hospital stay was 11.5 days. In the second case, an anastomotic segment stenosis was presented as a complication six months later, which was surgically corrected without showing any further inconvenience. At present, due to the imaging methods ease use, the diagnosis of this condition and other associated malformations becomes less complex, allowing the most appropriate and individualized surgical therapy to be planned. Currently, it is recommended that the symptomatic retrocaval ureter be approached in a laparoscopy way, but we must not forget the open approach, since it provides us with technical support for the complexities of the procedure. |
| format | Article |
| id | doaj-art-e253f0c74c454d0e8e7de262481490d5 |
| institution | Kabale University |
| issn | 1727-897X |
| language | Spanish |
| publishDate | 2022-12-01 |
| publisher | Centro Provincial de Información de Ciencias Médicas. Cienfuegos |
| record_format | Article |
| series | Medisur |
| spelling | doaj-art-e253f0c74c454d0e8e7de262481490d52025-01-30T21:29:00ZspaCentro Provincial de Información de Ciencias Médicas. CienfuegosMedisur1727-897X2022-12-0120668812246Retrocaval ureter. Two cases reportBryan Antonio Iza Jiménez0Karla Lizeth Gavilanes Encalada1Israel Darío Carrillo Quisnia2Universidad Regional Autónoma de los Andes. Ambato, Ecuador.Universidad Regional Autónoma de los Andes. Ambato, Ecuador.Universidad Regional Autónoma de los Andes. Ambato, Ecuador.The retrocaval ureter is a congenital malformation in which the ureter passes behind the inferior vena cava, is compressed and causes obstruction symptoms such as hydronephrosis. This work describes two clinical cases on retrocaval ureter, for exposing the experience in its diagnosis and surgical treatment. Different imaging tests were used to detect the anomaly, and it was found that urological computed tomography is essential to confirm the diagnosis. Since both cases presented criteria for surgical intervention, open surgery was selected, performing segmental ureterostomy and end-to-end ureteroanastomosis, with which resolution of the alteration and its symptoms was achieved. There were no intraoperative complications, and the mean hospital stay was 11.5 days. In the second case, an anastomotic segment stenosis was presented as a complication six months later, which was surgically corrected without showing any further inconvenience. At present, due to the imaging methods ease use, the diagnosis of this condition and other associated malformations becomes less complex, allowing the most appropriate and individualized surgical therapy to be planned. Currently, it is recommended that the symptomatic retrocaval ureter be approached in a laparoscopy way, but we must not forget the open approach, since it provides us with technical support for the complexities of the procedure.http://medisur.sld.cu/index.php/medisur/article/view/5653uréter retrocavovena cava inferioranomalías congénitas |
| spellingShingle | Bryan Antonio Iza Jiménez Karla Lizeth Gavilanes Encalada Israel Darío Carrillo Quisnia Retrocaval ureter. Two cases report Medisur uréter retrocavo vena cava inferior anomalías congénitas |
| title | Retrocaval ureter. Two cases report |
| title_full | Retrocaval ureter. Two cases report |
| title_fullStr | Retrocaval ureter. Two cases report |
| title_full_unstemmed | Retrocaval ureter. Two cases report |
| title_short | Retrocaval ureter. Two cases report |
| title_sort | retrocaval ureter two cases report |
| topic | uréter retrocavo vena cava inferior anomalías congénitas |
| url | http://medisur.sld.cu/index.php/medisur/article/view/5653 |
| work_keys_str_mv | AT bryanantonioizajimenez retrocavaluretertwocasesreport AT karlalizethgavilanesencalada retrocavaluretertwocasesreport AT israeldariocarrilloquisnia retrocavaluretertwocasesreport |