Appendiculopyelostomy: A Surgical Accident

Abstract

Open pyeloplasty is a commonly performed surgical procedure for Pelviureteric Junction (PUJ) obstruction. It can be associated with many complications. Anatomical structures with similar appearance may at times be confused for each other (eg. right ureter and appendix).The appendix may rarely lie parallel to the upper ureter when it can be confused with later. We report a case of accidental anastomosis of the appendix with the renal pelvis during open pyeloplasty. The patient was re-explored, the appendix was removed, the ureter was identified and spatulated ureteropyelostomy splinted internally with double J stent. Patient is asymptomatic at a two-year follow-up.

Keywords

• pyeloplasty
• pelviureteric junction obstruction
• appendix
• renal pelvis