Ileal conduit obstruction secondary to tethering of the small bowel anastomosis to the pubic bone.

We present the case of a late 60s male who presented to hospital 3 years postradical cystectomy and ileal conduit diversion with polyuria and acute kidney injury. CT of the kidneys, ureters and bladder (KUB) revealed mild hydronephrosis of a solitary left kidney and a 3-cm calculus in the ileal conduit. The patient subsequently underwent a laparotomy which revealed the cause of obstruction to be tethering of the small bowel anastomosis to the pubic bone. The conduit was excised with the calculus in situ and a new conduit was fashioned. The patient recovered from surgery without complication, and his kidney function improved. © BMJ Publishing Group Limited 2024. No commercial re-use. See rights and permissions. Published by BMJ.

Citation

Amy Wombwell, Niyati Lobo, Muhammad Shamim Khan, Ramesh Thurairaja. Ileal conduit obstruction secondary to tethering of the small bowel anastomosis to the pubic bone. BMJ case reports. 2024 Jan 05;17(1)

Mesh Tags

PMID: 38182174

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