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Severe bleeding from urinary conduits. A case report

W Månsson, P Alm, L Ekelund

    Scandinavian Journal of Urology and Nephrology
    |January 1, 1982
    PubMed
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    Severe bleeding from urinary diversion conduits, using ileum, sigmoid colon, and gastric antrum, occurred in a young man. Histologic examination revealed inflammatory changes, but the cause remains unknown, and treatments were ineffective.

    Area of Science:

    • Urology
    • Gastroenterology
    • Surgical Pathology

    Background:

    • Urinary diversion is a surgical procedure to create a new passage for urine flow.
    • Various intestinal segments, including ileum and colon, are commonly used for urinary diversion conduits.
    • Complications such as bleeding can arise from these surgical reconstructions.

    Observation:

    • A young male patient experienced recurrent, severe bleeding from urinary diversion conduits.
    • Multiple segments, including ileum, sigmoid colon, and gastric antrum, were successively used for urine diversion.
    • Histological examination of the conduit loops revealed significant inflammatory changes.

    Findings:

    • The cause of the severe bleeding and inflammatory changes in the urinary diversion conduits is currently unknown.

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  • Despite utilizing different intestinal segments for diversion, the bleeding persisted.
  • Conventional methods to control the hemorrhage proved unsuccessful.

    • Implications:

    • This case highlights a rare and severe complication of urinary diversion surgery.
    • Further research is needed to elucidate the etiology of this condition.
    • Understanding the underlying cause is crucial for developing effective management strategies for similar cases.