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Updated: Jul 6, 2025

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Ileal conduit obstruction secondary to tethering of the small bowel anastomosis to the pubic bone
Amy Wombwell1, Niyati Lobo2, Muhammad Shamim Khan2
1Urology, Guy's and St Thomas' Hospitals NHS Trust, London, UK amy.wombwell@gmail.com.
Abstract:
We present the case of a late 60s male who presented to hospital 3 years postradical cystectomy and ileal conduit diversion with polyuria and acute kidney injury. CT of the kidneys, ureters and bladder (KUB) revealed mild hydronephrosis of a solitary left kidney and a 3-cm calculus in the ileal conduit. The patient subsequently underwent a laparotomy which revealed the cause of obstruction to be tethering of the small bowel anastomosis to the pubic bone. The conduit was excised with the calculus in situ and a new conduit was fashioned. The patient recovered from surgery without complication, and his kidney function improved.
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