[Sigmoid carcinoma as a long-term complication following ureterosigmoidostomy].
A 45-year-old woman, known to have a congenital exstrophy ofthe bladder, for which she underwent a ureterosigmoidostomy in her infancy, presented with fever. This was due to pyelonephritis, from which she recovered with antibiotic therapy. During colonoscopy a carcinoma of the sigmoid was found at the level of the anastomosis of the ureters. Patients with a ureterosigmoidostomy have a one hundred-fold increased risk of colon carcinoma compared to the general population. The development of malignant tumours as a long-term complication of this procedure is linked with the frequent contact between intestinal tissue and urine. Periodical colonoscopy of these patients is advised.
Bredenoord
A J
AJ
St. Antonius Ziekenhuis, Postbus 2500, 3430 EM Nieuwegein. a.bredenoord@antonius.net
Onaca
M G
MG
van Ramshorst
B
B
Biesma
D H
DH
D012809:Colon, Sigmoid / Q000473:pathology*; D003110:Colonic Neoplasms / Q000453:epidemiology* / Q000209:etiology; D003113:Colonoscopy; D005260:Female; D006801:Humans; D008875:Middle Aged; D014513:Ureter / Q000601:surgery*; D014547:Urinary Diversion / Q000009:adverse effects*