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Article
October 1951

RETROCAVAL URETER: Report of Two Cases Diagnosed Preoperatively in Childhood

Author Affiliations

BALTIMORE
From the Department of Radiology (Dr. Parks) and the Brady Institute of Urology (Dr. Chase), Johns Hopkins Hospital.

AMA Am J Dis Child. 1951;82(4):442-445. doi:10.1001/archpedi.1951.02040040460006
Abstract

SINCE the original report of retrocaval ureter in 1893, 44 cases have been reported in the literature. Twenty-two of these cases were diagnosed post mortem, and eight cases were diagnosed preoperatively. Only one case in childhood has been previously reported,1 and this was the case of a 12-yr.old girl. The two following case reports raise the total number of cases diagnosed in childhood to three and are of the youngest patients described. We have seen three cases during the past two years, but one case was of an adult and is not included in this report. It would appear that familiarity with the condition as a cause of right ureteral obstruction is important in determining the incidence of its recognition.

This congenital anomaly consists of an abnormal course of the right ureter and is synonymously referred to as postcaval or circumcaval ureter. Instead of descending lateral to the inferior

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