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American Journal of Roentgenology, Vol 98, 160-162, Copyright © 1966 by American Roentgen Ray Society

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

RICHARD T. TRACKLER M.D.1 and WILLIAM H. McALISTER M.D.1

1 From the Edward Mallinckrodt Institute of Radiology, Washington University, St. Louis, Missouri

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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Copyright © 1966 by the American Roentgen Ray Society.