Unique urinary-fecal calculus after cystectomy and ureterosigmoidostomy.
A 36-year-old m an had stage B1 bladder cancer-treated by cystectomy and ureterosigmoidostomy. Postoperatively, a urinary leak was managed successfully by transureteroureterostomy and temporary colostomy. In succeeding years a large calculus developed in the region where the bladder had been and it also involved the sigmoid colon. The huge stone was removed successfully. A nonabsorbable suture was found in the center of the stone. This is a unique complication of ureterosigmoidostomy.
Goodwin
W E
WE
Department of Surgery, UCLA School of Medicine.
Kaufman
J J
JJ
Tompkins
R K
RK
D000328:Adult; D012809:Colon, Sigmoid / Q000601:surgery; D015653:Cystectomy / Q000009:adverse effects*; D005244:Fecal Impaction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D011859:Radiography; D013537:Sutures / Q000009:adverse effects; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D014545:Urinary Calculi / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D014547:Urinary Diversion / Q000009:adverse effects*