Cecal Through-and-through Penetration by Right Distal Ureter as a Complication of Ureteroneocystostomy: Report of a Case

右側遠端輸尿管重植手術後導致之盲腸穿孔：病例報告

10.29833/FJS.200810.0009

張毓珊(Yu-Shan Chang)；余燦榮(Tsan-Jung Yu)

cecal penetration ； ureteroneocystostomy ； politano-leadbetter ureteral reimplantation

Formosan Journal of Surgery

41卷5期（2008 / 10 / 01）

235 - 239

英文

臟器穿孔是Politano-Leadbetter輸尿管重植手術罕見之併發症。通常發生在未適當分離膀胱而盲目地將輸尿管種植於膀胱。一位十三個月大的小男嬰於七個月大時曾接受右側膀胱內輸尿管重植手術，之後因右側漸近性腎水腫接受腹部探查手術，術中發現右側輸尿管先穿過盲腸再進入膀胱，我們將輸尿管重新復位、置於後腹腔並放入一腳導管，腎水腫於術後追縱已有緩解。

Viscus perforation is an unusual complication of Politano-Leadbetter ureteral reimplantation. It usually occurs when the reimplanted ureter is blindly grasped without proper mobilization of the urinary bladder. A 13-month-old male baby had an operative history of intravesical right ureteroneocystostomy at age 7 months and presented with progressive right hydroureteronephrosis. At exploration, the cecum was penetrated through-and-through by the right ureter and we retroperitonealized the ureter with a double-J stenting. There was regression of right hydronephrosis on sonographic follow-up postoperatively.