Boari flap with hydronephrosis

Case contributed by Dr Ian Bickle

Presentation

Previous bladder surgery. Left sided hydronephrosis on follow-up imaging.

Patient Data

Age: 66
Gender: Male
Modality: Fluoroscopy

The left side of the dome of the bladder is hitched up, being contiguous with the distal ureter.

The left renal collecting system and ureter are dilated in keeping with severe hydronephrosis.

Case Discussion

A Boari flap is a urological procedure undertaken reimplant the ureter by replacing the distal ureter ureter when this has been destroyed or damaged ( tumour invasion, stricture ).   A tube of bladder tissue is used, being 'pulled''up rather like a ear or the top of a tent, giving a characteristic appearance to the bladder.

In this case a Boari flap has been performed, but the patient has gone on to develop a severe hydronephrosis, from a presumed new stricture.

PlayAdd to Share

Case Information

rID: 41120
Case created: 16th Nov 2015
Last edited: 24th Nov 2015
System: Urogenital
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.