Case Report


Complete left ureter replacement using appendiceal interposition

,  ,  ,  ,  

1 Urology Department, Rouen University Hospital, Rouen, France

2 Radiology Department, Rouen University Hospital, Rouen, France

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Marion Ghenassia

MD, Urology Department, Rouen University Hospital, Rouen,

France

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Article ID: 100037Z15MG2023

doi: 10.5348/100037Z15MG2023CR

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How to cite this article

Ghenassia M, Bedel JP, Surlemont L, Pfister C, Vangheluwe L. Complete left ureter replacement using appendiceal interposition. J Case Rep Images Urol 2023;8(2):18–21.

ABSTRACT


Introduction: Emergency ureteral replacement for large defect, especially in dilapidated abdominal cancer surgery remains an important surgical challenge. Several methods have been described. Here we aimed to present the complete left ureter replacement using appendix interposition, after a large resection of a rectosigmoid mass invading both ureter and iliac artery.

Case Report: A 64-year-old male patient diagnosed of a rectosigmoid hinge lesion invading the ureter and iliac artery. He underwent a large tumor resection. The left ureter was cut during the surgery below the renal pelvis with a loss of substance of more than 12 cm. The procedure involved replacement of the ureter by appendix interposition, with wire drainage by transvesicoparietal catheter and a bladder catheter. Neither ureterohydronephrosis nor urinary fistula was observed at the 2-month follow-up computed tomography.

Conclusion: In our experience, appendiceal interposition in extensive left ureteral defect is a feasible and safe surgical option.

Keywords: Appendiceal interposition, Large ureteral defect, Ureteral reconstruction

SUPPORTING INFORMATION


Author Contributions

Marion Ghenassia - Conception of the work, Design of the work, Acquisition of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Jean Baptiste Bedel - Acquisition of data, Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Louis Surlemont - Conception of the work, Design of the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Christian Pfister - Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Lucie Vangheluwe - Conception of the work, Design of the work, Acquisition of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2023 Marion Ghenassia et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.