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July 1949


Author Affiliations

From the Department of Urology, University of Louisville School of Medicine.

Arch Surg. 1949;59(1):84-91. doi:10.1001/archsurg.1949.01240040087006

THE VASCULAR anomaly which results in a venous trunk lying anterior to the ureter so that the latter structure must completely encircle it en route to the bladder has been variously described as a post-caval ureter, a precaval ureter and a circumcaval ureter. We are unable to offer a more accurately descriptive term, but it must be realized that although these terms would suggest a ureteral anomaly it is actually a vascular abnormality. That this vascular variation is premiant is attested by the fact that the case reported herein is the thirty-seventh recorded instance, and only twice previously has the diagnosis been made preoperatively. This condition, by virtue of its infrequence and the associated potential seriousness of the resultant lesion along with the complexity of its surgical correction, demands more frequent preoperative diagnosis. The treatment will be discussed in the light of the present exiguous literature and the reported cases

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