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Sigmoid adenocarcinoma complicating ureterosigmoidostomy
O Giannini1, A Friedli, A F Schärli
1Institute of Pathology, Kantonsspital, CH-6000 Luzern 16, Switzerland.
Pediatric Surgery International
|January 9, 1999
Summary
A patient who had a ureterosigmoidostomy developed metastatic colon cancer. Regular follow-ups are crucial for patients with this history to detect potential complications early.
Area of Science:
- Urology
- Oncology
- Gastroenterology
Background:
- Bilateral ureterosigmoidostomy is a surgical procedure for bladder exstrophy.
- Long-term complications of this surgery require ongoing investigation.
Observation:
- A 31-year-old male patient with a history of bladder exstrophy treated with bilateral ureterosigmoidostomy 20 years prior.
Findings:
- The patient developed metastatic adenocarcinoma of the sigmoid colon.
- No colonoscopy was performed during the patient's follow-up period.
Implications:
- Neoplastic transformation at the ureterosigmoid anastomosis is a potential severe complication.
- Periodic surveillance and follow-up are mandatory for patients who have undergone ureterosigmoidostomy.