ArticleSurgical case reports2026
Ureteral Preservation Using Fluorescent Ureteral Catheter during Laparoscopic Resection of an Appendiceal Inflammatory Pseudotumor: A Case Report.
Article in Surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionWhen a bulky intra-abdominal tumor cannot be clearly distinguished from a malignancy, careful surgical planning is required to preserve adjacent organs. CASE PRESENTATION: A 31-year-old female presented to our hospital with lower abdominal pain. Contrast-enhanced CT revealed a 67-mm mass in the cecum. Colonoscopy revealed a raised lesion; however, biopsy results were inconclusive. Laparoscopic ileocecal resection with D2 lymphadenectomy was performed because of a suspected malignancy. Given the proximity of the tumor to the right ureter on preoperative imaging, a fluorescent ureteral catheter (FUC) was inserted preoperatively. Intraoperatively, near-infrared light enabled a clear ureteral visualization, thereby facilitating safe dissection and successful preservation. Her postoperative course was uneventful. Pathological examination revealed a spindle cell lesion with suppurative inflammation, and immunostaining indicated myofibroblastic differentiation consistent with an appendiceal inflammatory pseudotumor.
conclusionsThis case highlights the utility of FUC-guided navigation for ureteral preservation during minimally invasive surgery for bulky intra-abdominal masses.
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