Wombwell A, Lobo N, Khan MS, Thurairaja R. Ileal conduit obstruction secondary to tethering of the small bowel anastomosis to the pubic bone.
BMJ Case Rep 2024;
17:e258418. [PMID:
38182174 PMCID:
PMC10773287 DOI:
10.1136/bcr-2023-258418]
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Abstract
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.
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