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[Partial replacement of the ureter with the appendix in Ormond disease --case report]
Rozhledy V Chirurgii : Mesicnik Ceskoslovenske Chirurgicke Spolecnosti
|February 21, 1998
Summary
Appendix successfully replaced a damaged ureter segment in a patient with morbus Ormond and a solitary kidney. This surgical technique offers a viable alternative for complex ureteral reconstruction when other methods fail.
Area of Science:
- Urology
- Surgical Innovation
- Gastrointestinal Surgery
Background:
- Ureteral reconstruction presents challenges, with standard methods like ureterolysis, resection and anastomosis, or ileal loops not always being optimal.
- Morbus Ormond (retroperitoneal fibrosis) can cause significant ureteral damage requiring complex surgical repair.
Observation:
- A case study involving a 59-year-old patient with morbus Ormond and a solitary right kidney is presented.
- The patient required surgical repair of a damaged abdominal ureteral segment (9 cm).
Findings:
- Partial replacement of the abdominal ureter was successfully achieved using an excluded appendix.
- This technique provided a functional alternative to complete ureteral replacement or standard reconstructive methods.
Implications:
- Appendiceal interposition serves as a potential alternative for ureteral reconstruction in select cases.
- This approach may be particularly valuable for patients with solitary kidneys or complex ureteral pathology where standard repairs are insufficient.