Ureteral Entanglement in Ring Inferior Venacava- A Rare Presentation
Correspondence Address :
Krishnendu Maiti,
Associate Professor, Department of Urology, Institute of Post Graduate Medical
Education and Research and SSKM Hospital, Kolkata, West Bengal, India.
E-mail: urologyipgmer@gmail.com
Ureteral entanglement in ring Inferior Venacava (IVC) also called Periureteric venous ring is a rare developmental anomaly, where right ureter passes through a slit like opening in a partially duplicated infrarenal IVC, this results in a dilated upper urinary tract. Authors hereby report a case of a 25-year-old married female presented with flank pain of right side of abdomen for seven months. On Contrast Enhanced Computed Tomography of Kidney, Ureters and Bladder (CECT KUB) with urography diagnosed as retrocaval ureter with right hydronephrosis. The patient was planned for right ureteroureterostomy. During surgery, it was found that right ureter was entangled in between slit like opening of inferior venacaval ring. Preureteral venacava with ring IVC is a rare phenomenon. Clinically it is very difficult to distinguish between the causes of ureteric obstruction. There is scarcity of such cases in the literature. The index case was also diagnosed intraoperatively and managed successfully.
Inferior venacava duplication, Periureteric venous ring, Upper tract dilation
DOI: 10.7860/JCDR/2021/48162:15755
Date of Submission: Dec 19, 2020
Date of Peer Review: Feb 16, 2021
Date of Acceptance: Apr 14, 2021
Date of Publishing: Dec 01, 2021
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Dec 21, 2020
• Manual Googling: Apr 14, 2021
• iThenticate Software: Nov 29, 2021 (19%)
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