[A case of ileus as a late complication of an ileal conduit in a patient with primary signet ring cell carcinoma of the bladder].

Abstract

A 69-year-old man visited our hospital with a complaint of dysuria. Intravenous excretory urography, ultrasonography and CT scan showed a tumor at the base of the bladder and the prostate. Transrectal needle biopsy revealed signet ring cell carcinoma. Radical cystectomy and ileal conduit were performed, and a histological diagnosis was a primary signet ring cell carcinoma of the bladder. No recurrence or metastasis was found either on ultrasonography or CT scan at 26 months after the operation. He suddenly suffered from severe abdominal pain, and died of hypovolemic shock by ileus as a late complication of an ileal conduit at 27 months after the operation. An ileus with extensive necrosis of small intestine and cancer recurrence at the junction of the ureter and ileal conduit were observed at autopsy.

• Authors: T Amano, M Fukuda, T Imao, K Takemae
• Journal: Hinyokika kiyo. Acta urologica Japonica (Hinyokika Kiyo) Vol. 46 Issue 11 Pg. 811-4 (Nov 2000) ISSN: 0018-1994 [Print] Japan
• PMID: 11193303 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Aged
• Carcinoma, Signet Ring Cell (surgery)
• Cystectomy
• Fatal Outcome
• Humans
• Intestinal Obstruction (etiology, pathology)
• Male
• Neoplasm Recurrence, Local (pathology)
• Postoperative Complications
• Shock (etiology)
• Time Factors
• Urinary Bladder Neoplasms (surgery)
• Urinary Diversion