Bladder exstrophy and ileal conduit stones

Case contributed by Dr Jayanth Keshavamurthy

Presentation

45 years old male "evaluate for stones."

Patient Data

Age: 45
Gender: Male

Multiple abdominal radiographs

Modality: X-ray

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


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

 

3. Widened space between 2 pubic symphysis, congenital here since there is surgical history it is from exstophy.

Modality: 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

45-year-old man with 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
Case created: 21st Apr 2015
Last edited: 7th Oct 2015
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.