Interposition of the Appendix for Ureteral Reconstruction in a Patient Treated for Fibrosarcoma

Interposition of the Appendix for Ureteral Reconstruction in a Patient Treated for Fibrosarcoma

Loading document ...
Page
of
Loading page ...

Author(s)

Author(s): Etore Andrade da Silva, Nilton Ghiotti de Siqueira, Luis César Fava Spessoto, Pedro Francisco Arruda, José Germano F. Arruda, Marcio Gatti, Thiago da Silveira Antoniassi, Fernando Nestor Facio Junior

Download Full PDF Read Complete Article

DOI: 10.18483/ijSci.1035 354 752 42-44 Volume 5 - Jun 2016

Abstract

The use of the appendix to reconstruct or replace the ureter is a feasible option in different situations. We present the case of ureteral reconstruction by interposition of the appendix in a patient treated for fibrosarcoma with resection of the retroperitoneal mass adhered to the mesentery and the upper third of the right ureter without cleavage plane. After reconstruction, the patient evolved with a urinary fistula that was resolved on the 29th day after conservative treatment. A computed tomography urography 30 days after surgery showed patency of the anastomosis and closure of the fistula. To the best of our knowledge, this is the first description of a patient submitted to ureteral reconstruction by interposition of the appendix in the surgical treatment of fibrosarcoma.

Keywords

Appendix, Ureteral reconstruction, Fibrosarcoma

References

  1. Melnikoff AE. Sur le replacement de l’uretere par anse isolee de l’intestine grele. Rev Clin Urol 1912; 1:601.
  2. Silva EA, Rey JAO, Santos JE, Garimaldi S, ConsoliME, Telo EZ. Use of appendix in urology: analysis of findings and incidental appendicectomy in urological patients. Actas Urol Esp 1999; 23: 704-7
  3. Ximena RS, Chaves FG. Lesiones ureterales iatrogénicas. Revisión de una serie de casos enel Hospital MilitarCentral. Revista Urología Colombiana 2009; 12(2): 75-80.
  4. Castillo OA, López-Fontana G, Díaz RH, Palomino JB .Ureteral replacement with cecal appendix Rev. Chilena de Cirugía 2012; 64(2) 185-8.
  5. Thomas A, Eng MM, Hagan C, Power RE, Little DM. Appendiceal substitution of the ureter in retroperitoneal fibrosis. J Urol 2004;171(6 Pt 1):2378.
  6. Wheeler RA, Malone PS. Use of the appendix in reconstructive surgery: a case against incidental appendicectomy. Br J Surg 1991;78:1283-5.
  7. Naidu V, Goad EHA, Munks D, Al Sharef M, Bereczky ZB. The appendix – still a useful conduit. Case Report. SAJS 2006; 44(4):147.
  8. Horwitz GJ, Jarrard DF. Extension of a shortened ureter using the in situ appendix during Indiana pouch urinary diversion. Urology 2004; 63(1):167-9.
  9. Mhiri MN, Chabchoub K, Ketata H, FakhfakhH, Karra H, Bahloul A, et al. Appendiculoureteroplasty: about 6 cases. Tunis Med 2005;83(12):777-81.
  10. Komiakov BK, Ochelenko VA. Long-term results of appendicouretheroplasty. Urologiia. 2012; 6:10-5.

Cite this Article:

  • BibTex
  • RIS
  • APA
  • Harvard
  • IEEE
  • MLA
  • Vancouver
  • Chicago

International Journal of Sciences is Open Access Journal.
This article is licensed under a Creative Commons Attribution 4.0 International (CC BY 4.0) License.
Author(s) retain the copyrights of this article, though, publication rights are with Alkhaer Publications.

Search Articles

Issue January 2020

Volume 9, January 2020


Table of Contents


Order Print Copy

World-wide Delivery is FREE

Share this Issue with Friends:


Submit your Paper