Segmental Ureteral Necrosis Due to Acute Appendicitis

Costa, Fernando; Marchese, Lúcio Tedesco; Fernandes, Manuel

doi:10.1016/s0022-5347(05)67405-8

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“…Evidence from American studies has shown that incidental appendectomy is a cost-effective procedure as it reduces the need for secondary intervention [10]. …”

Section: Discussionmentioning

confidence: 99%

A complex case of abdominal pain in a patient with pelviureteric junction obstruction

Wolak¹,

Gołąbek²,

Obarzanowski³

et al. 2014

wiitm

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Pelviureteric junction (PUJ) obstruction is a condition frequently encountered in both adult and pediatric patients. Congenital abnormalities and crossing lower-pole renal vessels are the most common underlying pathologies in both men and women. This report presents a case of a young woman who was complaining of intermittent abdominal pain in whom right-sided hydronephrosis was diagnosed. The patient was scheduled for a laparoscopic right-sided Anderson-Hynes pyeloplasty. During the procedure a partly extraperitoneal appendix, with extensive adhesions to the posterior abdominal wall abutting on the ureter just below the obstructed PUJ, was identified. The patient underwent dismembered laparoscopic Anderson-Hynes pyeloplasty with concurrent appendectomy for likely dual pathologies being responsible for her symptoms.

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“…Evidence from American studies has shown that incidental appendectomy is a cost-effective procedure as it reduces the need for secondary intervention [10]. …”

Section: Discussionmentioning

confidence: 99%