Case: 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.

Outcome: 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.

Conclusion: This case highlights the challenge of accurately diagnosing retrocaval ureter, especially type, based on initial radiological images.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11782891PMC
http://dx.doi.org/10.1016/j.eucr.2025.102936DOI Listing

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