OBSTRUCTION OF THE LOWER URETER BY THE DISTAL HYPOGASTRIC (UMBILICAL) ARTERY

Abstract
A case of an obliterated, distal hypogastric (umbilical) artery partial1y obstructing the lower left ureter of a male infant is reported. Surgical resection of the offending vessel resulted in decreased uretero-pyelo-caliectasis. The urographic demonstration of a transverse filling defect of the distal ureter above the ureterovesical junction with some visualization of the ureter distal to the defect is the most valuable roentgenographic finding for ureteral obstruction secondary to pelvic blood vessels. The previously reported cases are reviewed and the differential diagnosis is discussed.

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