Reemplazo ureteral con apéndice cecal

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 involvement 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.

Sustitución ureteral bilateral con asa ileal

“…Desde la primera descripción de reemplazo ureteral se han propuesto técnicas con apéndice cecal 8 , vasos sanguíneos, trompa de Falopio, peritoneo y material sintético, con escasos resultados 9 . El intestino delgado es el segmento más utilizado, sin embargo, se han descrito experiencias con colon 10 .…”

Total ureteral replacement with appendix and bladder reimplantation. Presentation of a case

“…There are bibliographic precedents such as the case report in Mexico with ureter replacement with cecal appendage in patients with ureteral stenosis 3 . In the same way, there are other cases of ureteral replacement with cecal appendage for post-surgical management in the case of lesions due to retroperitoneal tumors and post radiation therapy, also in cases of external trauma and its main use today in pediatric patients [4][5][6] . However, there are no reports prior to the case of presenting a 20-year-old male patient with a single right kidney secondary to left nephrectomy with iatrogenic lesion of the right ureter with total absence of it.…”