Retro-iliac ureter is a rare congenital abnormality. The authors report a case of retro-iliac ureter associated with ipsilateral megaureter in a 38-year-old patient treated by section of the ureter at the ureterovesical junction, and dissection as far as the iliac pedicle and anterior repositioning of this pedicle, followed by ureterovesical reimplantation. Based on a review of the literature, this appears to be the first published case of this pathological association.
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