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Bladder exstrophy and ileal conduit stones

Case contributed by Dr Jayanth Keshavamurthy


"Evaluate for stones."

Patient Data

Age: 45 years
Gender: Male

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.


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.

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Case information

rID: 35761
Published: 23rd Apr 2015
Last edited: 14th Aug 2019
System: Urogenital
Inclusion in quiz mode: Included

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