Complications Associated with Ureterosigmoidostomy - Colon Carcinoma and Ascendens Infection Resulting in Nephrectomy : A Case Report


TÜREDİ S. , INCEALTIN O., HOS G.

ACTA CHIRURGICA BELGICA, vol.109, no.4, pp.531-533, 2009 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 109 Issue: 4
  • Publication Date: 2009
  • Doi Number: 10.1080/00015458.2009.11680478
  • Title of Journal : ACTA CHIRURGICA BELGICA
  • Page Numbers: pp.531-533

Abstract

Ureterosigmoidostomy is a method for total diversion of the urinary stream away from the bladder and lower urinary tract into the sigmoid colon, the anus providing the continence mechanism for urine as well as for faeces. However, this type of urinary diver ion has multiple serious mid- and long-term complications, including anastomotic colon cancer, ascendens urinary infection, hyperchloremic metabolic acidosis, electrolyte imbalance, incontinence and urinary stone. This case report describes the diagnostic and therapeutic approach to a case in which ureterosigmoidostomy had been carried out, with nephrectomy being performed 30 years following this intervention, after pyelonephritis developed by way of ascendens infection, and which was then operated on three years later, upon the appearance of sigmoid colon carcinoma.