Bladder exstrophy and ileal conduit stones

Case contributed by Dr Jayanth Keshavamurthy

Presentation

"Evaluate for stones."

Patient Data

Age: 45 years
Gender: Male
X-ray

Multiple abdominal radiographs

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

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

Widened space between the two pubic symphysis, congenital here since there is surgical history it is from exstrophy.

Fluoroscopy

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.
 

Case Discussion

Ileal conduit and ileal conduit stones.

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

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

PlayAdd to Share

Case information

rID: 35761
Published: 23rd Apr 2015
Last edited: 15th Feb 2018
System: Urogenital
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.