Appendicocalicostomy: A case of mistaken identity

• Main Authors: S Sharma, K Shah, B S Santhosh, S J Rizvi
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2014-01-01
• Series: Indian Journal of Urology
• Subjects: Appendicocalicostomy; appendix; ureter; ureterocalicostomy
• Online Access: http://www.indianjurol.com/article.asp?issn=0970-1591;year=2014;volume=30;issue=2;spage=228;epage=229;aulast=Sharma

Anatomical structures with similar appearance may at times be confused for each other. This situation can be compounded by lack of normal anatomical planes. We did ureterocalicostomy on a 32-year-female with secondary pelvi-ureteral junction obstruction. Post-operatively, it was discovered that she had a long appendix running parallel to ureter in retroperitoneum, which was misidentified as ureter and anastomosed to the lower pole of the kidney. She was re-explored, appendix was removed, ureter was identified and ureterocalicostomy was done. Patient is asymptomatic at 1 year follow-up.