Yang–Monti Ileal Ureter Reconstruction for Posttraumatic Long-Segment Ureteric Injury

Abstract

An adolescent male presented to us with a history of ureteric injury resulting from a road traffic accident 18 months ago leading to penetrating abdominal trauma. He had undergone exploratory laparotomy with peritoneal lavage and right percutaneous nephrostomy for ureteric injury at another center. In the right nephrostogram, the pelvicalyceal system was dilated with opacification only up to the upper ureter. Following a careful assessment, Yang–Monti ileal ureteric reconstruction was planned. This procedure involved the use of a detubularized ileal segment to create a neoureter by filling a large defect. At 1-year postoperative follow-up, he was asymptomatic, without nephrostomy, and had resumed his work.

Keywords

• accidents
• percutaneous nephrostomy
• traffic
• ureter