Intestinal malrotation in a patient who underwent radical cystectomy and ileal conduit construction: a case report

Publication date: Available online 17 October 2019Source: Urology Case ReportsAuthor(s): Fumito Yamabe, Hiroshi Aoki, Remi Iwamoto, Yozo Mitsui, Hideyuki Kobayashi, Koichi NakajimaAbstractA 74-year-old male underwent laparoscopic radical cystectomy for invasive bladder cancer with open surgery for lymph node dissection and urinary diversion (ileal conduit). During the surgery, intestinal malrotation was diagnosed and Ladd procedure was performed. Ileal conduit was performed on the left side after considering the course of mesentery. Although a final diagnosis was reached during the surgery in this case, the presence of intestinal malrotation can be suspected based on the findings of contrast-enhanced computed tomography images obtained before the surgery. Images should be carefully inspected to detect intestinal malrotation when planning urinary diversion involving the intestinal tract.
Source: Urology Case Reports - Category: Urology & Nephrology Source Type: research