Appendicular Ureteroplasty for a Firearm Related Rupture of the Right Ureter

Bachelard Cissa Wa Numbe,1,2 Antoine Mulungano Mirindi,1,2 Juvenal Cirhuza Nnashi,1,2 Costa Sudi Musilimu,1,2 Jean de Dieu Tumusifu Manegabe,1,2 Dominique Chimanuka Mirindi,1,2 Ghislain Balemba Maheshe,2,3 Eric Namegabe Mugabo,2,4 Safari Mudekereza Paterne,1,2 Léon-Emmanuel Mukengeshai Mubenga1,2,5 1Department of Surgery, Faculty of Medicine, Université Catholique de Bukavu (UCB), Bukavu, Democratic Republic of Congo; 2General Provincial Reference Hospital of Bukavu, Bukavu, Democratic Republic of Congo; 3Department of Radiology, Faculty of Medicine, Université Catholique de Bukavu (UCB), Bukavu, Democratic Republic of Congo; 4Department of Anesthesiology, Faculty of Medicine, Université Catholique de Bukavu (UCB), Bukavu, Democratic Republic of Congo; 5Institut supérieur des techniques médicales de Bukavu (ISTM Bukavu), Bukavu, Democratic Republic of CongoCorrespondence: Bachelard Cissa Wa Numbe, Email [email protected]: One of the most challenging aspects of urology is restoring patency to ureters with long defects. In certain cases, it may not be feasible to perform plastic surgery on the ureter with its own tissue or bladder. In such instances, alternative solution like appendicular ureteroplasty may be promising solution. Ureteral injuries have several etiologies, some of them are secondary to unintentional ureteral trauma during surgery. More than half of these injuries are unrecognized during the first laparotomy. Extensive ureteral injuries are difficult to repair, even with application of several types of surgical techniques. The advantage of appendicular ureteroplasty is the simplicity of the ureteral replacement technique without compromising other substitution options in case of failure. This is a case report of a young adult with abdominal gunshot injuries, with significant loss of tissues located to distal third of the right ureter. The appendicular urethroplasty was successfully performed. The patient remained stable after one year of out follow-up as an outpatient.Keywords: ureteroplasty, firearm, appendix