Al-Shalah Mustafa I, Altawallbeh Zaid F, Al Sharqi Rashed Yousef, Alzawahreh Mohammad Kh, Abulawi Raed Bassam, Saad Mohab Alsaid, Hanafi Yousif Ahmad, Alnajada Laith, Alfreahat Ala' Mohammad Yaser
Department of Urology, Al Basheer Hospital, Amman, Jordan.
Al Nadeem Hospital, Madaba, Jordan.
Urol Case Rep. 2025 Jan 11;59:102936. doi: 10.1016/j.eucr.2025.102936. eCollection 2025 Mar.
A 22-year-old male smoker presented with intermittent right flank pain lasting over a year. He had a history of atrophied left kidney and gout. Physical exam revealed mild right renal angle tenderness.
Initial imaging, pointed to a diagnosis of ureteropelvic junction stenosis. During surgery, a type two retrocaval ureter was discovered. Transposition pyelo-pyelostomy was performed to repair the ureter, and a double-J stent was inserted.
This case highlights the challenge of accurately diagnosing retrocaval ureter, especially type, based on initial radiological images.