Sohail M, Loke S N, Sim S K, Nik Azim N A
Universiti Malaysia Sarawak, Faculty of Medicine and Health Sciences, Kota Samarahan, Sarawak, Malaysia.
Sarawak General Hospital, Department of Surgery, Sarawak, Malaysia.
Med J Malaysia. 2021 May;76(3):432-435.
We present here a case of a 66-year-old lady who was diagnosed with right iliac fossa retroperitoneal leiomyosarcoma at Hospital Umum Sarawak. The challenge in this case was the extension of tumour with the involvement of her right ureter causing proximal hydroureter and hydronephrosis. After resection of tumour en-block with the involved segment of ureter, it was not possible to repair the ureteric defect directly. We used interpositional vascularized appendix graft to repair this large (7 cm) ureteric defect. We describe here this uncommon technique of ureter reconstruction.
我们在此介绍一名66岁女性的病例，她在砂拉越中央医院被诊断为右髂窝腹膜后平滑肌肉瘤。该病例的挑战在于肿瘤的扩展累及右侧输尿管，导致近端输尿管积水和肾积水。在将肿瘤与受累输尿管段整块切除后，无法直接修复输尿管缺损。我们使用带血管蒂的阑尾移植来修复这个较大（7厘米）的输尿管缺损。我们在此描述这种罕见的输尿管重建技术。
