1. De-inversion of an inverted appendectomy for the Malone procedure
- Author
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Ahmet Çelik, Nergül Çördük, Ali Avanoglu, Ibrahim Ulman, and Orkan Ergün
- Subjects
medicine.medical_specialty ,Neuropathic bladder ,business.industry ,Urology ,medicine.medical_treatment ,Lumen (anatomy) ,Enema ,digestive system ,digestive system diseases ,Appendix ,Surgery ,medicine.anatomical_structure ,medicine ,Incidental appendicectomy ,Fecal incontinence ,medicine.symptom ,business ,Monti procedure - Abstract
The Malone anterograde continence enema (ACE) procedure was planned for a 7-year-old girl with a cloacal malformation and who had undergone several operations elsewhere. In addition to her fecal incontinence problems she also had a vesicostomy for a neuropathic bladder and bilateral grade V VUR. Her records showed that she had undergone an incidental appendicectomy 5 years previously and therefore a Monti procedure was planned. On examining the caecum a tubular mass was palpated in the lumen and the caecum was opened. Surprisingly the appendix had been inverted into the lumen for appendicectomy but was still viable. An attempt to de-invert was successful and the appendix was usable for the Malone procedure (Fig. 1). She also underwent a bilateral Cohen antireflux procedure and Kropp bladder-neck reconstruction at the same time as the ACE.
- Published
- 2007
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