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Indian Journal of Surgery
Published in: Indian Journal of Surgery 1/2021

01-02-2021 | Metabolic Acidosis | Case Report

Adenocarcinoma at Ureterosigmoidostomy Site

Authors: S. Devaji Rao, N. Anandan, M. Kanagavel

Published in: Indian Journal of Surgery | Issue 1/2021

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Abstract

Ureterosigmoidostomy is a method for total diversion of the urinary stream into the sigmoid colon, away from the urinary bladder and lower urinary tract, and the anus providing the continence mechanism for urine as well as for feces. However, this type of urinary diversion has multiple serious mid- and long-term complications, including cancer at the anastomotic site, ascending urinary infection, hyperchloremic metabolic acidosis, electrolyte imbalance, incontinence, and urinary stone. We present here a case of adenocarcinoma at the ureterosigmoidostomy site, performed for ectopia vesicae, 47 years ago.
Literature
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Strachan JR, Woodhouse CR (1991) Malignancy following ureterosigmoidostomy in patients with exstrophy. Br J Surg 78:1216–1218CrossRef
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Khan MN, Naqvi AH, Lee RE (2004) Carcinoma of sigmoid colon following urinary diversion: a case report and review of literature. World J Surg Oncol 2:20–23CrossRef
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Cohen MS, Hilz ME, Davis CP et al (1987) Urinary carcinogen (nitrosamine) production in a rat animal model for ureterosigmoidostomy. J Urol 138:449–452CrossRef
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Kalble T, Tricker AR, Berger M et al (1991) Tumor inducation in a rat model for ureterosigmoidostomy without evidence of nitrosamine formation. J Urol 146:862–866CrossRef
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Metadata
Title
Adenocarcinoma at Ureterosigmoidostomy Site
Authors
S. Devaji Rao
N. Anandan
M. Kanagavel
Publication date
01-02-2021
Publisher
Springer India
Published in
Indian Journal of Surgery / Issue 1/2021
Print ISSN: 0972-2068
Electronic ISSN: 0973-9793
DOI
https://doi.org/10.1007/s12262-020-02218-7

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