Abstract

Ureteral replacement with cecal appendix We report two cases with ureteral lesions. A 34 years male with a residual retroperitoneal mass caused by a testicular cancer, that persisted after chemotherapy. During the surgical excision of the mass, the involve- ment of the right ureter was discovered. A 43 years old female with a left ureteral lesion secondary to radiation therapy and with a non-functioning contralateral kidney. In both cases a ureteral replacement with the cecal appendix was performed, without surgical complications. After fi ve years of follow up, the urinary tract of the male patient is normal. The female patient required an endoscopic incision of the connection between the appendix and the urinary bladder, eight years after the surgical procedure. Three years after the endoscopic procedure the repaired urinary tract is in good conditions.

Highlights

  • We report two cases with ureteral lesions

  • A 34 years male with a residual retroperitoneal mass caused by a testicular cancer, that persisted after chemotherapy

  • Three years after the endoscopic procedure the repaired urinary tract is in good conditions

Read more

Summary

Ureteral replacement with cecal appendix

We report two cases with ureteral lesions. A 34 years male with a residual retroperitoneal mass caused by a testicular cancer, that persisted after chemotherapy. A 43 years old female with a left ureteral lesion secondary to radiation therapy and with a non-functioning contralateral kidney In both cases a ureteral replacement with the cecal appendix was performed, without surgical complications. Conclusión: Estos 2 casos, con seguimiento prolongado, apoyan la factibilidad del uso del apéndice cecal como variante para el reemplazo ureteral en lesiones extensas. Dada la escasez de casos clínicos publicados en la literatura, queremos comunicar la utilidad del uso de apéndice cecal como reemplazo ureteral en dos casos con seguimiento prolongado. El segmento estenótico del uréter distal derecho fue reemplazado con la interposición de apéndice cecal con anastomosis término-terminal al uréter proximal a nivel de los vasos ilíacos y anastomosis directa a vejiga. Son varias las ventajas del uso del apéndice cecal como sustituto ureteral en comparación con el reemplazo por ileon (uréter ileal) o el autotrasplante renal. Técnicamente la interposición con apéndice es sencilla y puede ser movilizado a izquierda y derecha sin tensión[6,7,8,9,10,11,12,13]

REEMPLAZO URETERAL CON APÉNDICE CECAL
Conclusión
Full Text
Published version (Free)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call