title: [Adenocarcinoma of an augmented bladder 49 years after enterocystoplasty : a case report].
abstract: A 69-year-old man visited our hospital presenting with bladder tamponade. The patient had undergone bladder augmentation using the ileocecum and the ascending colon for an atrophy bladder due to tuberculosis 49 years previously. Cystoscopy revealed an invasive bladder tumor in the anastomotic region of the bladder and the intestine. He underwent cystourethrectomy and ileal conduit (utilizing the previous ureteroileal anastomosis). A deliberate procedure of urinary tract diversion was required because of the severe postoperative adhesion by the augmentation. The pathological diagnosis showed adenocarcinoma. The tumor spread over the intestinal tract side and the deepest part reached the adventitia of the intestinal tract. The patient is receiving additional therapy of combined modality including chemotherapy.
authors.affiliation: The Department of Urology, Kansai Electric Power Hospital.
authors.forename: Hiroko
authors.initials: H
authors.lastname: Kimura
authors.affiliation: The Department of Urology, Kansai Electric Power Hospital.
authors.forename: Kaoru
authors.initials: K
authors.lastname: Murakami
authors.affiliation: The Department of Urology, Kansai Electric Power Hospital.
authors.forename: Teruyoshi
authors.initials: T
authors.lastname: Aoyama
authors.affiliation: The Department of Surgery, Kansai Electric Power Hospital.
authors.forename: Izumi
authors.initials: I
authors.lastname: Koumoto
authors.affiliation: The Department of Surgery, Kansai Electric Power Hospital.
authors.forename: Masaaki
authors.initials: M
authors.lastname: Awane
authors.affiliation: The Department of Pathology, Kansai Electric Power Hospital.
authors.forename: Jun
authors.initials: J
authors.lastname: Kawai
authors.affiliation: The Department of Urology, Kansai Electric Power Hospital.
authors.forename: Takayuki
authors.initials: T
authors.lastname: Hashimura
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D000368:Aged; D015653:Cystectomy; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed; D014376:Tuberculosis / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000473:pathology / Q000601:surgery*; D013520:Urologic Surgical Procedures