Cecal Through-and-through Penetration by Right Distal Ureter as a Complication of Ureteroneocystostomy: Report of a Case

Viscus perforation is an unusual complication of Politano-Leadbetter ureteral reimplantation. It usually occurs when the reimplanted ureter is blindly grasped without proper mobilization of the urinary bladder. A 13-month-old male baby had an operative history of intravesical right ureteroneocystostomy at age 7 months and presented with progressive right hydroureteronephrosis. At exploration, the cecum was penetrated through-and-through by the right ureter and we retroperitonealized the ureter with a double-J stenting. There was regression of right hydronephrosis on sonographic follow-up postoperatively.