Appendix interposition for total left ureteral reconstruction |
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| Authors: | Rafael Trindade Deyl Márcio Augusto Averbeck Gilberto Laurino Almeida Giovani Thomaz Pioner Carlos Ary Vargas Souto |
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| Affiliation: | 1. Division of Oncology, Department of Urology, University of Michigan, Ann Arbor, MI;2. Dow Division for Urologic Health Service Research, Department of Urology, University of Michigan, Ann Arbor, MI;3. Department of Urology, University of Pittsburgh, Pittsburgh, PA;4. H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL;5. Indiana University Kelley School of Business, Operations, and Decision Technologies, Bloomington, IN;6. Department of Industrial and Operations Engineering, University of Michigan, Ann Arbor, MI;7. VA Health Services Research & Development, Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI;1. Department of Urology, University of California—San Francisco, San Francisco, CA;2. Department of Urology, King Abdulaziz University, Jeddah, Saudi Arabia;3. Department of Urology, University of Iowa, Iowa, IA |
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| Abstract: | IntroductionAppendix 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 reportWe 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.ResultsPostoperative 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.ConclusionTotal 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. |
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