Retrokaval üreter nedeniyle yapılan laparoskopik üreteroüreterostomi

Yıl 2019, Cilt: 16 Sayı: 1, 163 - 166, 22.03.2019

Eser Ördek Halil Çiftçi Bülent Katı Eyyup Sabri Pelit İsmail Yağmur Mehmet Demir

Öz

Retrocaval üreter, ortalama olarak her 1000 canlı
doğumda bir görülebilen nadir bir konjenital anomalidir. Vena cava inferiorun
(VCİ) İnfrarenal gelişimi sırasında posterior kardinal venin atrofiye
uğramaması sonucu oluşur ve üst üriner sistemde basıya sebep olarak üreterde
radyolojik olarak saptanan “S” veya “balık oltası” ya da ''ters J''
deformitesini oluşturur. Retrocaval üreter yanısıra ''sirkumcaval üreter'' ve
''postcaval üreter'' terimleri de kullanılmaktadır. (1,2) . Ciddi obstruksiyon varlığında cerrahi tedavi gerekir. Standart
cerrahi tedavide retrocaval seyreden ve basıya uğrayan üreter kısmı eksize
edilerek üreter veya renal pelvise anastomoz edilir. 

Anahtar Kelimeler

Retrocaval üreter, Sirkumcaval üreter, Üreteroüreterostomi

Laparoscopic ureteroureterostomy for retrocaval ureter

Öz

A retrocaval ureter anomaly, also known as a circumcarcus ureter, is a term used to describe the abnormal course of a ureter surrounding the vena cava inferior (VCI). Although both of these terms may be misleading, this configuration is considered a developmental anomaly of the inferior vena cava. And on average there is a rare congenital anomaly with a visible male and female ratio of 3: 1 per 1000-1500 live births. The inferior vena cava inferior (VCI) is caused by the non-atrophy of the posterior cardinal vein during the infrarenal development and is the typical ‘’S’’ sign or ‘’fish hook’’ or ‘’reverse J’’ deformity that is detected radiologically in the ureter as a cause of compression in the upper urinary tract. Surgical treatment is required in the presence of severe symptoms and renal damage. The aim of the standard ideal surgical treatment is to reanastomosize the ureter which is retrocaval and suppressed and excised to ureter or renal pelvis. In this case report, we aimed to present a case of laparoscopic transperitoneal ureteroureterostomy in a patient diagnosed as retrocaval ureter with contralateral renal agenesis.

Anahtar Kelimeler

Retrocaval ureter, Circumcaval ureter, Ureteroureterostomy

Kaynakça

• KAYNAKLAR:1. Resnick MI, Kursh ED. Extrinsic obstruction of the ureter. Campbell’s Urology. Edited by PC Walsh, AB Retik, ED Vaughan, AJ Wein. Seventh edition. Philadelphia, WB Saunders Co, 1998; 387-422.
• 2. Mellins HC. Anomalies of the Inferior Vena Cava. Clinical Urography. Edited by HM Pollack. Philadelphia, WB Saunders Co, 1990; 2097-2104.
• 3. Kogan BA. Disorders of the Ureter and Ureteropelvic Junction. Smith’s General Urology. Edited by EA Tanago,JW McAninch. Fourteenth edition. Connecticut, Appleton and Lange, 1995; 626-641.
• 4. Zhang XD, Hou SK, Zhu JH, Wang XF, Meng GD, Qu XK. Diagnosis and treatment of retrocaval ureter. Eur Urol 1990;18:207-10.
• 5. Rubinstein I, Cavalcanti AG, Canalini AF, Freitas MA, Accioly PM. Left retrocaval ureter associated with inferior vena cava duplication. J Urol 1999;162:1373-4.
• 6. Considine J. Retrocaval ureter. A review of the literatüre with a report of two new cases followed for fifren years and two years retrospectively. Br J Urol 1966;38:412-23.
• 7. Soundappan SV, Barker AP. Retrocaval ureter in children: a report of two cases. Pediatr Surg Int 2004;20:158-60.
• 8. Bhandarkar DS, Lalmalani JG, Shivde S. Laparoscopic ureterolysis and reconstruction of a retrocaval ureter. Surg Endosc 2003;17:1851-2.
• 9. Anderson JC, Hynes W. Retrocaval ureter; a case diagnosed pre-operatively and treated successfully by a plastic operation. Br J Urol 1949;21:209-14.
• 10. Gundeti MS, Duffy PG, Mushtaq I. Robotic-assisted laparoscopic correction of pediatric retrocaval ureter. J Laparoendosc Adv Surg Tech A 2006;16:422-4.
• 11. Hemal AK, Rao R, Sharma S, Clement RG. Pure robotic retrocaval ureter repair. Int Braz J Urol 2008;34:734-8.