TY - JOUR
T1 - Appendix interposition for total left ureteral reconstruction
AU - Deyl, Rafael Trindade
AU - Averbeck, Márcio Augusto
AU - Almeida, Gilberto Laurino
AU - Pioner, Giovani Thomaz
AU - Souto, C. A V
PY - 2009/6
Y1 - 2009/6
N2 - 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.
AB - 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.
KW - Appendix
KW - Ureteral diseases
KW - Ureteral obstruction
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U2 - 10.1016/j.jpurol.2008.11.010
DO - 10.1016/j.jpurol.2008.11.010
M3 - Article
C2 - 19109072
AN - SCOPUS:67349156418
VL - 5
SP - 237
EP - 239
JO - Journal of Pediatric Urology
JF - Journal of Pediatric Urology
SN - 1477-5131
IS - 3
ER -