Appendix interposition for total left ureteral reconstruction

Rafael Trindade Deyl, Márcio Augusto Averbeck, Gilberto Laurino Almeida, Giovani Thomaz Pioner, C. A V Souto

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Appendix interposition has been described as an option for surgical reconstruction of partial and total ureteral defects both in children and adults. However, to our knowledge, appendix interposition for a total left ureteral reconstruction has never been described. Case report: We report the first case of total left ureteral reconstruction with cecal appendix to connect the renal pelvis of a native kidney to the urinary bladder in a 3-month-old child with ureteral necrosis following pyeloplasty. Results: Postoperative recovery was uneventful. Postoperative intravenous pyelogram showed good flow of dye from the pelvis past the appendicular graft into the bladder. After 6 months, the child was asymptomatic, within the normal growth curve for height and weight. Conclusion: Total ureteral reconstruction with cecal appendix is a feasible technique in young children. Surveillance for late operative complications is required, since this is the first case of total left ureteral reconstruction with appendix to connect the renal pelvis of a native kidney to the urinary bladder.

Original languageEnglish
Pages (from-to)237-239
Number of pages3
JournalJournal of Pediatric Urology
Volume5
Issue number3
DOIs
Publication statusPublished - Jun 2009

Keywords

  • Appendix
  • Ureteral diseases
  • Ureteral obstruction

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Urology

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