Hussein Soliman
We present the case of a 38-year-old female with a locally advanced recto-sigmoid adenocarcinoma. Preoperative CT scan showed that the tumour is closely related to the left psoas muscle, with total encasement of the left ureter, causing Grade II left sided hydronephrosis. Exploration was done, and an extended left hemicolectomy, with en-bloc resection of a segment of about 6 cm from the left ureter was performed. After trying to approximate both cut ends, it was clear from the start that they will not reach, and a bridge would be needed to reconstruct the ureter.
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