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CC BY 4.0 · European J Pediatr Surg Rep. 2018; 06(01): e104-e107
DOI: 10.1055/s-0039-1678567
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Laparoscopic Repair of a Left Retrocaval Ureter in a 16-Year-Old Girl

Anna Kadar
1   Department of Pediatric Surgery, Clinical Emergency Hospital for Children “Marie Curie,” Bucharest, Romania
,
Lorena Vatra
1   Department of Pediatric Surgery, Clinical Emergency Hospital for Children “Marie Curie,” Bucharest, Romania
,
Anca Avram
1   Department of Pediatric Surgery, Clinical Emergency Hospital for Children “Marie Curie,” Bucharest, Romania
,
Daniela Stoica
2   Department of Pediatric Radiology, Clinical Emergency Hospital for Children “Marie Curie,” Bucharest, Romania
,
Marcel Oancea
1   Department of Pediatric Surgery, Clinical Emergency Hospital for Children “Marie Curie,” Bucharest, Romania
› Author Affiliations
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Publication History

23 October 2018

01 January 2019

Publication Date:
22 February 2019 (online)

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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
 

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