Abstract
Retrocaval ureter is a rare congenital anomaly in which the ureter courses posterior to the inferior vena cava. It may be associated with inferior vena cava and renal anomalies. We reported an 11-year-old male presented with a history of right flank pain and dysuria. Ultrasonography of the abdomen was done which showed right hydronephrosis and right proximal hydroureteronephrosis. A computed tomography (CT) urogram showed a retrocaval ureter with no other associated anomaly. The parents of the child refused to consent to surgical intervention. CT urogram is the imaging modality of choice to identify the retrocaval ureter and the associated anomalies.