Mixed histology bladder cancer as a complication of clam ileocystoplasty.
Lawrence NipEmil SalmoRaveendra SurangeJohn CallearyPublished in: BMJ case reports (2021)
A 58-year-old woman with a previous clam ileocystoplasty was referred to the urology department for the investigation of haematuria. CT urogram showed a large left-sided soft tissue mass arising from the bladder. Histological analysis of the shavings from transurethral resection revealed a G3pT2 transitional cell carcinoma and T4N1Mx adenocarcinoma. The patient was referred to oncology for the discussion of palliative chemotherapy; however, in the interim she deteriorated and was admitted to hospital with a post-renal acute kidney injury. A right-sided nephrostomy was inserted relieving her obstruction and she subsequently made a good recovery. This case report illustrates the difficulties in the long-term follow-up of patients having undergone what is now a rarely performed procedure. In the absence of regular cystoscopic follow-up post ileocystoplasty, malignancy may present late and with complications from advanced disease.
Keyphrases
- case report
- acute kidney injury
- end stage renal disease
- soft tissue
- palliative care
- ejection fraction
- chronic kidney disease
- newly diagnosed
- squamous cell carcinoma
- computed tomography
- locally advanced
- healthcare
- prognostic factors
- cardiac surgery
- emergency department
- minimally invasive
- radiation therapy
- magnetic resonance
- single cell
- patient reported outcomes
- acute care
- adverse drug