Adenocarcinoma at the ureterosigmoidostomy site in a 16-year-old demonstrates the importance of screening in children

Naima Smeulders; Nada Sudhakaran; Duncan T Wilcox; Philip G Ransley

doi:10.1016/j.jpurol.2007.10.004

Adenocarcinoma at the ureterosigmoidostomy site in a 16-year-old demonstrates the importance of screening in children

J Pediatr Urol. 2008 Jun;4(3):234-5. doi: 10.1016/j.jpurol.2007.10.004. Epub 2007 Nov 26.

Authors

Naima Smeulders¹, Nada Sudhakaran, Duncan T Wilcox, Philip G Ransley

Affiliation

¹ Department of Urology, Great Ormond Street Hospital for Children NHS Trust, Great Ormond Street, London WC1N 3JH, UK. naima.smeulders@talktalk.net

PMID: 18631934
DOI: 10.1016/j.jpurol.2007.10.004

Abstract

We report the death of a 17-year-old male exstrophy patient from adenocarcinoma arising at the ureterosigmoidostomy. This was detected at reconstructive surgery at the age of 16 years, 13 years after ureterosigmoidostomy. This case highlights the importance of including children in endoscopic surveillance. We recommend annual sigmoid-colonoscopy commencing 10 years after ureterosigmoidostomy irrespective of age.

Publication types

Case Reports

MeSH terms

Adenocarcinoma / diagnosis
Adenocarcinoma / etiology*
Adenocarcinoma / surgery
Adolescent
Anastomosis, Surgical / adverse effects
Bladder Exstrophy / surgery*
Colectomy / methods
Colon, Sigmoid / surgery*
Colonic Neoplasms / diagnosis
Colonic Neoplasms / etiology*
Colonic Neoplasms / surgery
Cystectomy / adverse effects
Cystectomy / methods
Diagnosis, Differential
Fatal Outcome
Humans
Male
Postoperative Complications
Tomography, X-Ray Computed
Ureterostomy / adverse effects*