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Bladder exstrophy and ileal conduit stones

Case contributed by Jayanth Keshavamurthy
Diagnosis certain

Presentation

Evaluate for stones

Patient Data

Age: 45 years
Gender: Male

Multiple abdominal radiographs

x-ray

Calcific density anterior to the S1 vertebral body is a stone in the ileal conduit.

Multiple surgical changes secondary to repair of bladder exstrophy are seen in the right lower quadrant.

Widened pubic symphysis, congenital here since there is surgical history it is from exstrophy.

Surgical clips are visualized in the right lower quadrant with colostomy overlying the right iliac crest.

Contrast is injected into the ileal conduit - two irregular-shaped opacities with increased density are seen in the pelvis representing stones in the ileal conduit.

Ostomy is seen.

Case Discussion

Ileal conduit and ileal conduit stones.

Left nephrostomy placement was requested for access for the stone removal procedure.

There is an increased risk for stone formation in ileal conduits for a variety of reasons.

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