A unique extra-anatomic urinary diversion!
The ureter is often involved in pelvic malignancy, leading to obstruction, hydronephrosis, and deterioration of renal function. Decompression is provided either by retrograde stenting or by nephrostomy followed by antegrade stent insertion. We present an interesting case where an iatrogenic accident during antegrade stenting led to the placement of the lower end of the stent in the rectal stump. Although this led to a favorable outcome, in that it provided internal continent drainage, it cannot be recommended for emulation. However, it does show that a physician should not only have conventional wisdom but also a good measure of innovation and pragmatism.
Department of Urology, Wexham Park Hospital, Slough, UK.
Vibash C
VC
Mishra
Amrith Raj
AR
Rao
Anil R
AR
Desai
Mark
M
Charig
Omer M A
OM
Karim
D000230:Adenocarcinoma / Q000601:surgery*; D000368:Aged; D012809:Colon, Sigmoid / Q000601:surgery; D003110:Colonic Neoplasms / Q000601:surgery*; D006801:Humans; D007049:Iatrogenic Disease; D015607:Stents; D014513:Ureter / Q000601:surgery; D014516:Ureteral Neoplasms / Q000601:surgery; D014517:Ureteral Obstruction / Q000209:etiology / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*