Korean J Urol.  2014 Jan;55(1):77-79. 10.4111/kju.2014.55.1.77.

Ureteral Substitution Using Appendix for a Ureteral Defect Caused by a Retroperitoneal Rhabdomyosarcoma in a Child

• Yoon BI
• Hong CG
• Kim S
• Ha US
• Chung JH
• Kim SW
• Cho YH
• Sohn DW

• KMID: 1988458
• DOI: http://doi.org/10.4111/kju.2014.55.1.77

Abstract

A 7-year-old boy was diagnosed with a recurrent embryonal rhabdomyosarcoma in the retroperitoneum. After resection of the mass, direct end-to-end anastomosis of the ureter was not possible owing to the length of the resected segment. Accordingly, we performed ureteral substitution by using the appendix to repair the ureteral defect.

Keyword

Appendix; Substitution; Ureter

MeSH Terms

Appendix*
Child*
Humans
Male
Rhabdomyosarcoma*
Rhabdomyosarcoma, Embryonal
Ureter*

Figure

• 

  FIG. 1 Computed tomography showed a retroperitoneal mass (A) surrounding the right lower ureter along the right iliac artery, resulting in hydronephrosis (B).

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  FIG. 2 (A) After resection of the mass, direct end-to-end anastomosis of the ureter was not possible owing to the length of the resected segment. (B) End-to-end anastomosis was performed between the spatulated end of the ureter and the tip of the appendix.

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  FIG. 3 Six weeks postoperatively, intravenous urography showed no definite stricture point and improvement of the hydronephrosis of the right ureter.

Reference

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