Adenocarcinoma at the ureterosigmoidostomy site in a 16-year-old demonstrates the importance of screening in children.
We report the death of a 17-year-old male exstrophy patient from adenocarcinoma arising at the ureterosigmoidostomy. This was detected at reconstructive surgery at the age of 16 years, 13 years after ureterosigmoidostomy. This case highlights the importance of including children in endoscopic surveillance. We recommend annual sigmoid-colonoscopy commencing 10 years after ureterosigmoidostomy irrespective of age.
Smeulders
Naima
N
Department of Urology, Great Ormond Street Hospital for Children NHS Trust, Great Ormond Street, London WC1N 3JH, UK. naima.smeulders@talktalk.net
Sudhakaran
Nada
N
Wilcox
Duncan T
DT
Ransley
Philip G
PG
D000230:Adenocarcinoma / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D000293:Adolescent; D000714:Anastomosis, Surgical / Q000009:adverse effects; D001746:Bladder Exstrophy / Q000601:surgery*; D003082:Colectomy / Q000379:methods; D012809:Colon, Sigmoid / Q000601:surgery*; D003110:Colonic Neoplasms / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D015653:Cystectomy / Q000009:adverse effects / Q000379:methods; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D014057:Tomography, X-Ray Computed; D014519:Ureterostomy / Q000009:adverse effects*