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An unusual diverticulum adjacent to two large colonic polyps; a case report
Adenocarcinomas can arise in a variety of circumstances in which intestinal segments have been used for urinary diversions. Whereas ureterosigmoidostomy is the oldest and simplest form of continent urinary diversion it also seems to be the most dangerous in this regard. Herein we present a case of c...
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Published in: | BMC gastroenterology 2018-06, Vol.18 (1), p.83-83, Article 83 |
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description | Adenocarcinomas can arise in a variety of circumstances in which intestinal segments have been used for urinary diversions. Whereas ureterosigmoidostomy is the oldest and simplest form of continent urinary diversion it also seems to be the most dangerous in this regard. Herein we present a case of colonic neoplasia complicating a non-functioning ureterosigmoidostomy after 55 years; the longest latent period documented to date.
A 56-year-old lady born with congenital bladder exystrophy and who had a functional ileal conduit presented to us with a 6 month history of change in bowel habit and rectal bleeding. Prior to this she had had multiple abdominal surgeries as a child and had suffered from lifelong recurrent urinary tract infections. Colonoscopy revealed the presence of two large sessile polyps in close proximity to a diverticulum-like structure that after surgical resection turned out to be a non-functioning ureterosigmoidostomy from when she was an infant.
Our case highlights the importance of enrolling patients with ureterosigmoidostomies into long-term colonoscopic surveillance programmes. This is also true for those patients who undergo revisional surgery but have preserved ureteric stumps. Endoscopists should be aware of the varied endoscopic appearances of the anastamosis in order to be able to recognise these structures when present. |
doi_str_mv | 10.1186/s12876-018-0816-9 |
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A 56-year-old lady born with congenital bladder exystrophy and who had a functional ileal conduit presented to us with a 6 month history of change in bowel habit and rectal bleeding. Prior to this she had had multiple abdominal surgeries as a child and had suffered from lifelong recurrent urinary tract infections. Colonoscopy revealed the presence of two large sessile polyps in close proximity to a diverticulum-like structure that after surgical resection turned out to be a non-functioning ureterosigmoidostomy from when she was an infant.
Our case highlights the importance of enrolling patients with ureterosigmoidostomies into long-term colonoscopic surveillance programmes. This is also true for those patients who undergo revisional surgery but have preserved ureteric stumps. Endoscopists should be aware of the varied endoscopic appearances of the anastamosis in order to be able to recognise these structures when present.</description><identifier>ISSN: 1471-230X</identifier><identifier>EISSN: 1471-230X</identifier><identifier>DOI: 10.1186/s12876-018-0816-9</identifier><identifier>PMID: 29898664</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adenoma ; Bladder ; Care and treatment ; Case Report ; Case reports ; Case studies ; Colon ; Colonic polyps ; Colonoscopy ; Colorectal cancer ; Diverticulum ; Endoscopy ; Family medical history ; Fecal incontinence ; Gastroenterology ; Intestine ; Latent period ; Medical screening ; Ostomy ; Patients ; Polyps ; Rectum ; Surgery ; Surveillance ; Tumors ; Ureter ; Ureterosigmoidostomy ; Urinary diversion ; Urinary tract</subject><ispartof>BMC gastroenterology, 2018-06, Vol.18 (1), p.83-83, Article 83</ispartof><rights>COPYRIGHT 2018 BioMed Central Ltd.</rights><rights>Copyright © 2018. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s). 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c512t-460224107df2eb115a6a5cabe54f2116748f9802f1292c80180486e058fcd9da3</cites><orcidid>0000-0001-9900-5239</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6001174/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2056826711?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,25731,27901,27902,36989,36990,44566,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29898664$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schembri, John</creatorcontrib><creatorcontrib>Bury, Jonathan</creatorcontrib><creatorcontrib>Hunt, Lesley</creatorcontrib><creatorcontrib>Riley, Stuart</creatorcontrib><title>An unusual diverticulum adjacent to two large colonic polyps; a case report</title><title>BMC gastroenterology</title><addtitle>BMC Gastroenterol</addtitle><description>Adenocarcinomas can arise in a variety of circumstances in which intestinal segments have been used for urinary diversions. Whereas ureterosigmoidostomy is the oldest and simplest form of continent urinary diversion it also seems to be the most dangerous in this regard. Herein we present a case of colonic neoplasia complicating a non-functioning ureterosigmoidostomy after 55 years; the longest latent period documented to date.
A 56-year-old lady born with congenital bladder exystrophy and who had a functional ileal conduit presented to us with a 6 month history of change in bowel habit and rectal bleeding. Prior to this she had had multiple abdominal surgeries as a child and had suffered from lifelong recurrent urinary tract infections. Colonoscopy revealed the presence of two large sessile polyps in close proximity to a diverticulum-like structure that after surgical resection turned out to be a non-functioning ureterosigmoidostomy from when she was an infant.
Our case highlights the importance of enrolling patients with ureterosigmoidostomies into long-term colonoscopic surveillance programmes. This is also true for those patients who undergo revisional surgery but have preserved ureteric stumps. Endoscopists should be aware of the varied endoscopic appearances of the anastamosis in order to be able to recognise these structures when present.</description><subject>Adenoma</subject><subject>Bladder</subject><subject>Care and treatment</subject><subject>Case Report</subject><subject>Case reports</subject><subject>Case studies</subject><subject>Colon</subject><subject>Colonic polyps</subject><subject>Colonoscopy</subject><subject>Colorectal cancer</subject><subject>Diverticulum</subject><subject>Endoscopy</subject><subject>Family medical history</subject><subject>Fecal incontinence</subject><subject>Gastroenterology</subject><subject>Intestine</subject><subject>Latent period</subject><subject>Medical screening</subject><subject>Ostomy</subject><subject>Patients</subject><subject>Polyps</subject><subject>Rectum</subject><subject>Surgery</subject><subject>Surveillance</subject><subject>Tumors</subject><subject>Ureter</subject><subject>Ureterosigmoidostomy</subject><subject>Urinary diversion</subject><subject>Urinary tract</subject><issn>1471-230X</issn><issn>1471-230X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptUtFqFDEUHUSxtfoBvkjAF1-m5iaZTIIgLEVtseCLgm_hbiZZs8xOxmSmpX_fjFvLrkgeEm7OOZdzOFX1Gug5gJLvMzDVypqCqqkCWesn1SmIFmrG6c-nB--T6kXOW0qhVYw_r06YVlpJKU6rr6uBzMOcZ-xJF25cmoKd-3lHsNuidcNEpkim20h6TBtHbOzjECwZY3835g8EicXsSHJjTNPL6pnHPrtXD_dZ9ePzp-8Xl_X1ty9XF6vr2jbAplpIypgA2naeuTVAgxIbi2vXCM8AZCuU14oyD0wzq4o7KpR0tFHedrpDflZd7XW7iFszprDDdGciBvNnENPG4OKjd0YKQEWRtlZywexadw3ngjNQHksIvGh93GuN83rnusVxwv5I9PhnCL_MJt4YWdKEVhSBdw8CKf6eXZ7MLmTr-h4HF-dsGG0aCRwUFOjbf6DbOKehRLWgpGKyhQPUBouBMPhY9tpF1KwaIZVutWgK6vw_qHI6tws2Ds6HMj8iwJ5gU8w5Of_oEahZ2mT2bTIlb7O0yejCeXMYziPjb334PRzAwkA</recordid><startdate>20180614</startdate><enddate>20180614</enddate><creator>Schembri, John</creator><creator>Bury, Jonathan</creator><creator>Hunt, Lesley</creator><creator>Riley, Stuart</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7QR</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PIMPY</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-9900-5239</orcidid></search><sort><creationdate>20180614</creationdate><title>An unusual diverticulum adjacent to two large colonic polyps; a case report</title><author>Schembri, John ; Bury, Jonathan ; Hunt, Lesley ; Riley, Stuart</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c512t-460224107df2eb115a6a5cabe54f2116748f9802f1292c80180486e058fcd9da3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adenoma</topic><topic>Bladder</topic><topic>Care and treatment</topic><topic>Case Report</topic><topic>Case reports</topic><topic>Case studies</topic><topic>Colon</topic><topic>Colonic polyps</topic><topic>Colonoscopy</topic><topic>Colorectal cancer</topic><topic>Diverticulum</topic><topic>Endoscopy</topic><topic>Family medical history</topic><topic>Fecal incontinence</topic><topic>Gastroenterology</topic><topic>Intestine</topic><topic>Latent period</topic><topic>Medical screening</topic><topic>Ostomy</topic><topic>Patients</topic><topic>Polyps</topic><topic>Rectum</topic><topic>Surgery</topic><topic>Surveillance</topic><topic>Tumors</topic><topic>Ureter</topic><topic>Ureterosigmoidostomy</topic><topic>Urinary diversion</topic><topic>Urinary tract</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schembri, John</creatorcontrib><creatorcontrib>Bury, Jonathan</creatorcontrib><creatorcontrib>Hunt, Lesley</creatorcontrib><creatorcontrib>Riley, Stuart</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Immunology Abstracts</collection><collection>Health Medical collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>BMC gastroenterology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schembri, John</au><au>Bury, Jonathan</au><au>Hunt, Lesley</au><au>Riley, Stuart</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An unusual diverticulum adjacent to two large colonic polyps; 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Whereas ureterosigmoidostomy is the oldest and simplest form of continent urinary diversion it also seems to be the most dangerous in this regard. Herein we present a case of colonic neoplasia complicating a non-functioning ureterosigmoidostomy after 55 years; the longest latent period documented to date.
A 56-year-old lady born with congenital bladder exystrophy and who had a functional ileal conduit presented to us with a 6 month history of change in bowel habit and rectal bleeding. Prior to this she had had multiple abdominal surgeries as a child and had suffered from lifelong recurrent urinary tract infections. Colonoscopy revealed the presence of two large sessile polyps in close proximity to a diverticulum-like structure that after surgical resection turned out to be a non-functioning ureterosigmoidostomy from when she was an infant.
Our case highlights the importance of enrolling patients with ureterosigmoidostomies into long-term colonoscopic surveillance programmes. This is also true for those patients who undergo revisional surgery but have preserved ureteric stumps. Endoscopists should be aware of the varied endoscopic appearances of the anastamosis in order to be able to recognise these structures when present.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>29898664</pmid><doi>10.1186/s12876-018-0816-9</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0001-9900-5239</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Adenoma Bladder Care and treatment Case Report Case reports Case studies Colon Colonic polyps Colonoscopy Colorectal cancer Diverticulum Endoscopy Family medical history Fecal incontinence Gastroenterology Intestine Latent period Medical screening Ostomy Patients Polyps Rectum Surgery Surveillance Tumors Ureter Ureterosigmoidostomy Urinary diversion Urinary tract |
title | An unusual diverticulum adjacent to two large colonic polyps; a case report |
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