Related Experiment Videos
[Intestinal volvulus after enterocystoplasty: report of three cases in children]
1Clinique chirurgicale infantile, hôpital Charles-Nicolle, Rouen, France.
Insights
Ileocystoplasty, a bladder augmentation technique using intestinal tissue, can lead to rare but serious mechanical complications like intestinal volvulus. This study highlights the importance of recognizing these risks beyond common mucous-related issues in pediatric patients.
Area of Science:
- Urology
- Pediatric Surgery
- Gastroenterology
Context:
- Enterocystoplasty is a surgical procedure for bladder augmentation.
- Complications typically focus on mucous in the bladder.
- Mechanical issues within the intestinal tract are less recognized.
Purpose:
- To analyze mechanical complications in children undergoing ileocystoplasty.
- To investigate the occurrence of intestinal volvulus after bladder augmentation.
Summary:
- Three pediatric cases of ileocystoplasty were reviewed.
- Two cases presented with intestinal volvulus.
- One case involved cecal volvulus around the augmented intestinal segment's vascular pedicle.
Impact:
- Highlights underreported mechanical complications of ileocystoplasty.
- Emphasizes the need for vigilance regarding volvulus in pediatric patients post-enterocystoplasty.
- Informs surgical considerations for bladder augmentation techniques.
Abstract:
Enterocystoplasty complications related to the presence of intestinal mucous presence in the bladder are well known and well reported in the literature. Mechanical problems in the intestinal tract due to using gut for bladder augmentation are not as well recognised. We analyzed three cases of children treated by ileocystoplasty who presented an intestinal volvulus in two cases and a cecal volvulus in one case around the vascular pedicle of the intestinal patch used for bladder augmentation.