title: The twisted diversion: a paralyzing complication.
abstract: Ileal conduit remains a widely used urinary diversion performed after radical cystectomy. However, complications of ileal conduits remain an important concern in urological surgery. We report a rare case of an ileal conduit stricture, which can have grim complications if unobserved during the operation. Following an initial operation of radical cystectomy and ileal conduit formation in France in 2011, an 80-year-old male travelled back to the UK after 4 months of general weakness and limb paralysis. Initial blood test shows life-threatening hyperkalemia and worsened renal function. Subsequent ultrasound KUB scan and loopogram revealed obstructive uropathy. The initial management includes intravenous antibiotics and bilateral nephrostomies were inserted to aid diversion of urine. A thorough surgical exploration revealed a twisted, fibrous mesenteric band adhered to the proximal part of the ileal conduit. Only one case report of ileal conduit stenosis was described many years after the procedure.
authors: Department of Urology, Arrowe Park Hospital, Wirral Teaching Hospital NHS Foundation Trust, Merseyside, UK genesisken@doctors.org.uk.
authors: Kenneth
authors: K
authors: Hiew
authors: Department of Urology, Arrowe Park Hospital, Wirral Teaching Hospital NHS Foundation Trust, Merseyside, UK.
authors: Richard
authors: R
authors: Glendinning
authors: Department of Urology, Arrowe Park Hospital, Wirral Teaching Hospital NHS Foundation Trust, Merseyside, UK.
authors: Nigel
authors: N
authors: Parr
authors: Department of Urology, Arrowe Park Hospital, Wirral Teaching Hospital NHS Foundation Trust, Merseyside, UK.
authors: Manal
authors: M
authors: Kumar