Laparoscopic ureteral antero-position in a retrocaval ureter: a case report and review


  • Jorge A. Castro-Flores Department of Surgery, Hospital General ISSSTE, San Luis Potosi, Mexico
  • Diana E. Campos-Lopez Department of Surgery, Hospital Dr. Ignacio Morones Priesto, San Luis Potosi, Mexico
  • Cristopher Cardenas-Cruz Department of Investigation, National Institute of Pediatrics, Mexico City, Mexico
  • Jose de Jesus Vazquez-Hernandez Department of Urology, Hospital General ISSSTE, San Luis Potosi, Mexico
  • Mauricio Porras-Loya
  • Celeste Espinosa-Coria Westhill University, Mexico City, Mexico
  • Alejandro Arias-Mendoza Escuela Superior de Medicina, IPN, Mexico City, Mexico
  • Rodrigo Rueda de Leon-Serna Department of Plastic Surgery, Hospital General de Mexico, Mexico City, Mexico



Retrocaval ureter, Hydronephrosis, Ureteral catheter, Pelvic ureteric junction


Retrocaval ureter is a rare congenital anomaly due to altered development of the vasculature, in which the ureter passes behind the inferior vena cava. This is often secondary vascular variants. Here we present a case about a 41-year-old woman with pain in the right renal fossa, stenotic retrocaval ringlet was established by CT scan. RG showed 43.3 ml/min with obstructive pattern and a bordering left renal exclusion. A laparoscopic transperitoneal approach was realized. Right pyeloureteromy and anteroposition was done. The patient evolved satisfactorily, showed no signs of inflammatory systemic response and continued under post-surgical surveillance until drainage was removed, with progressively diminished serohematic output. Laparoscopic ureteral antero-position with pyeloureterotomy is considered the treatment of choice because it’s a less invasive procedure. We recommend the laparoscopic approach because of a low postsurgical complications risk.


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How to Cite

Castro-Flores, J. A., Campos-Lopez, D. E., Cardenas-Cruz, C., Vazquez-Hernandez, J. de J., Porras-Loya, M., Espinosa-Coria, C., Arias-Mendoza, A., & Leon-Serna, R. R. de. (2022). Laparoscopic ureteral antero-position in a retrocaval ureter: a case report and review. International Journal of Research in Medical Sciences, 10(12), 2932–2935.



Case Reports