Late Distal Ureteral Stricture in Internal Hemipelvectomy Without Bone Reconstruction: A Case Report

Apichat Asavamongkolkul,1 Ekkarin Chotikawanich2 1Department of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand; 2Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, ThailandCorrespondence: Apichat Asavamongkolkul...

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Main Authors: Asavamongkolkul A, Chotikawanich E
Format: Article
Language:English
Published: Dove Medical Press 2022-07-01
Series:Research and Reports in Urology
Subjects:
Online Access:https://www.dovepress.com/late-distal-ureteral-stricture-in-internal-hemipelvectomy-without-bone-peer-reviewed-fulltext-article-RRU
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author Asavamongkolkul A
Chotikawanich E
author_facet Asavamongkolkul A
Chotikawanich E
author_sort Asavamongkolkul A
collection DOAJ
description Apichat Asavamongkolkul,1 Ekkarin Chotikawanich2 1Department of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand; 2Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, ThailandCorrespondence: Apichat Asavamongkolkul, Department of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, 10700, Thailand, Tel/Fax +66 2-419-7968, Email apichat.asa@mahidol.ac.thAbstract: We report the case of a patient with Ewing sarcoma involving the right pelvis in a 14-year-old girl who had multicycles of neo-adjuvant chemotherapy and preoperative radiation therapy. She underwent an internal hemipelvectomy type I resection, according to Enneking and Dunham’s classification without bony reconstruction. There was no intra- and perioperative complication. The patient has good function and needs no gait aids. She can walk with equinus foot compensated for leg shortening 5 centimeters and without a shoe-lift. There is no sign of disease relapse. However, she developed late ureteral stricture at 8-year postoperatively and was successfully treated with a ureteral stent.Keywords: internal hemipelvectomy, Ewing sarcoma, ureteric stricture, limb-sparing surgery, radiation therapy, mesh graft
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spelling doaj.art-40cdcbbac5724d13b392d15a0d8b762d2022-12-22T00:58:57ZengDove Medical PressResearch and Reports in Urology2253-24472022-07-01Volume 1427528076791Late Distal Ureteral Stricture in Internal Hemipelvectomy Without Bone Reconstruction: A Case ReportAsavamongkolkul AChotikawanich EApichat Asavamongkolkul,1 Ekkarin Chotikawanich2 1Department of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand; 2Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, ThailandCorrespondence: Apichat Asavamongkolkul, Department of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, 10700, Thailand, Tel/Fax +66 2-419-7968, Email apichat.asa@mahidol.ac.thAbstract: We report the case of a patient with Ewing sarcoma involving the right pelvis in a 14-year-old girl who had multicycles of neo-adjuvant chemotherapy and preoperative radiation therapy. She underwent an internal hemipelvectomy type I resection, according to Enneking and Dunham’s classification without bony reconstruction. There was no intra- and perioperative complication. The patient has good function and needs no gait aids. She can walk with equinus foot compensated for leg shortening 5 centimeters and without a shoe-lift. There is no sign of disease relapse. However, she developed late ureteral stricture at 8-year postoperatively and was successfully treated with a ureteral stent.Keywords: internal hemipelvectomy, Ewing sarcoma, ureteric stricture, limb-sparing surgery, radiation therapy, mesh grafthttps://www.dovepress.com/late-distal-ureteral-stricture-in-internal-hemipelvectomy-without-bone-peer-reviewed-fulltext-article-RRUinternal hemipelvectomyewing sarcomaureteric stricturelimb-sparing surgeryradiation therapymesh graft
spellingShingle Asavamongkolkul A
Chotikawanich E
Late Distal Ureteral Stricture in Internal Hemipelvectomy Without Bone Reconstruction: A Case Report
Research and Reports in Urology
internal hemipelvectomy
ewing sarcoma
ureteric stricture
limb-sparing surgery
radiation therapy
mesh graft
title Late Distal Ureteral Stricture in Internal Hemipelvectomy Without Bone Reconstruction: A Case Report
title_full Late Distal Ureteral Stricture in Internal Hemipelvectomy Without Bone Reconstruction: A Case Report
title_fullStr Late Distal Ureteral Stricture in Internal Hemipelvectomy Without Bone Reconstruction: A Case Report
title_full_unstemmed Late Distal Ureteral Stricture in Internal Hemipelvectomy Without Bone Reconstruction: A Case Report
title_short Late Distal Ureteral Stricture in Internal Hemipelvectomy Without Bone Reconstruction: A Case Report
title_sort late distal ureteral stricture in internal hemipelvectomy without bone reconstruction a case report
topic internal hemipelvectomy
ewing sarcoma
ureteric stricture
limb-sparing surgery
radiation therapy
mesh graft
url https://www.dovepress.com/late-distal-ureteral-stricture-in-internal-hemipelvectomy-without-bone-peer-reviewed-fulltext-article-RRU
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