title: [Sigmoid carcinoma as a long-term complication following ureterosigmoidostomy].
abstract: 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.
authors.affiliation: St. Antonius Ziekenhuis, Postbus 2500, 3430 EM Nieuwegein. a.bredenoord@antonius.net
authors.forename: A J
authors.initials: AJ
authors.lastname: Bredenoord
authors.forename: M G
authors.initials: MG
authors.lastname: Onaca
authors.forename: B
authors.initials: B
authors.lastname: van Ramshorst
authors.forename: D H
authors.initials: DH
authors.lastname: Biesma
mesh_terms: 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*