Ureteral anomalies in gynecologic surgery

A 30-year-old woman with recurrent endometriosis presents for definitive surgical management with a hysterectomy. Her surgical history includes four laparoscopic excisions of endometriosis including bilateral ovarian cystectomies and an appendectomy. Given her surgical history, the retroperitoneum was opened to definitively identify the course of her ureters. Exploration of the right retroperitoneum revealed two right ureters which fused two centimeters proximal to the ureterovesicular junction (Figure 1, Figure 2).
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: IMAGES IN Gynecological Surgery Source Type: research