[Vermiform appendix used as a segment of the ureter].
A man aged 67 with a single kidney was admitted on account of haematuria and raised serum creatinine. Investigation revealed a poorly differentiated invasive transitional cell tumour at the middle of the right ureter. After resection of the tumour, a space of 10 cm remained between the two ends of the ureter. During the operation, it had become apparent that the usual methods of reconstruction could not be employed and, therefore, the vermiform appendix was employed as an intermediate segment of the ureter. The appendicular graft functioned satisfactorily until recurrence of the cancer occurred and the patient died one year later. This method may be employed in selected cases where Boariflap, uretero-trans-ureterostomy or autotransplantation of the kidney cannot be employed.
L J
LJ
Jeppesen
T
T
Krarup
D000368:Aged; D001065:Appendix / Q000637:transplantation*; D006801:Humans; D008297:Male; D013524:Surgical Flaps; D014516:Ureteral Neoplasms / Q000601:surgery*
Appendix vermiformis som uretersegment.