Details

Autor(en) / Beteiligte

• Atwine, Oscar
• Mucunguzi, Denis
• Ebine, Johnson
• Ainomugisha, Racheal
• Muhumuza, Joshua
• Mwesigwa, Marvin Mutakooha

Titel

Retrocaval ureter in a child presenting at a regional referral hospital in South-Western Uganda: A case report

Ist Teil von

• International journal of surgery case reports, 2023, Vol.111, p.108899-108899

Erscheinungsjahr

2023

Quelle

Free E-Journal (出版社公開部分のみ）

Beschreibungen/Notizen

• INTRODUCTION AND IMPORTANCERetrocaval ureter is a rare developmental abnormality of the inferior vane cava. Commonly presents in the 3rd and 4th decades of life hence a rare presentation in the pediatric population. This condition presents a surgical challenge both in terms of diagnosis and management due to costly investigations and few urology specialists in resource limited settings. We present a case of retrocaval ureter surgically managed in a resource limited setting with excellent outcome.CASE PRESENTATIONA 13-year-old female presented with 3 months history of progressive right sided abdominal pain and history of treatment for recurrent lower urinary tract infections. Intravenous pyelogram showed a ureter with a fish hook shape. At laparotomy, the ureter was identified, divided, relocated and ureteroureterostomy done anterior to the inferior vena cava. The patient recovered with no complications.DISCUSSION AND CONCLUSIONTo the best of our knowledge, this is the first reported case of retrocaval ureter in a child surgically managed in Africa. It's a congenital anomaly of the inferior vena cava not ureter hence a misnomer. Amidst of being in a less resourced setting, an intravenous pyelogram may be all that is required to make a diagnosis.