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Stentless repair of left urethral defect with appendiceal interposition: A case report
Emran Avci1, Semra Demirli Atıcı1, Ufuk Uylas1
1University of Health Sciences, Tepecik Training and Research Hospital, Tepecik, İzmir, Turkey.
Introduction And Importance:
Various methods have been described in the repair of ureteral defects. Here, it is aimed to present the repair performed with appendiceal interposition without any double J stent for the left ureteral defect in a patient who was operated on urgently due to obstruction with metastatic and locally advanced colon tumor.
Case Presentation:
An 82-year-old male patient was taken to an emergency operation with the diagnosis of ileus. A tumor involving the left ureter was detected in the sigmoid colon, and a 6 cm defect occurred in the left ureter after resection. This defect was repaired with appendiceal interposition without double J stent placement. Hydroureteronephrosis and stricture were not observed in the patient's 2nd and 8th-month follow-up imaging.
Conclusion:
The appendix interposition for left ureter reconstruction is a safe and feasible option. Also, this procedure can be done without any ureteral stent.
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