DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20150345

Retroiliac ureter presenting as right upper ureteric obstruction – report of a rare case

Honderabalu Lingaraju Prasad, Vilvapathy Senguttuvan Karthikeyan, Maregowda Shivalingaiah, Chandrashekar S. Ratkal

Abstract


Retroiliac ureter is an extremely rare urological entity in which the ureter passes deep to the iliac vessels. Congenital causes are most often secondary to vascular variants. A 39 year old lady presented with one month history of right loin pain. CECT showed right gross HUN till L3 and EC renogram showed 33% function in right kidney with obstructive pattern. RGP revealed Right Pelvic Ureteric Junction Obstruction (PUJO) obstruction, but at exploration was found to have retroiliac ureter. Ureteral division with anterior relocation and dismembered pyeloplasty was done. Anomalous vascular structures are often not diagnosed until surgical intervention for an obstruction of unknown etiology, unless vascular studies are considered, Most of these patients require surgical exploration to exclude tubercular stricture or malignant process.


Keywords


Retroiliac ureter, PUJ Obstuction, Hydroureteronephrosis

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References


Wein AJ. Ectopic ureter, ureterocele and ureteral anomalies. Campbell - Walsh Urology, 10th edition., Philadelphia: Elsevier Saunders 2011:3265.

Nguyen DH, Koleilat N, Gonzalez R. Retroiliac ureter in a male newborn with multiple genitourinary anomalies case report and review of literature. J Urol. 1989;141(6):1400-3.

Ameur A, Lezrek M, Jira H, Menfaa M, Boumdin H, Beddouch A. Retro-iliac ureter associated with ipsilateral megaureter. Prog Urol. 2002;12(6):1291-3.