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CASE REPORT
Ileal conduit volvulus: rare complication of urinary diversion
  1. Raphael Shamavonian and
  2. Nagy Andrawis
  1. General Surgery, Shoalhaven District Memorial Hospital, Nowra, New South Wales, Australia
  1. Correspondence to Dr Raphael Shamavonian, drraphaelshamavonian{at}gmail.com

Abstract

Ileal conduit volvulus is a rare complication of urinary diversion. It has been suggested that various factors including prolonged length of the ileal segment, lack of fixation of the conduit to the peritoneum and failure to close the incised mesentery predispose patients to this complication. We present the case of a 76-year-old man who presented to hospital with severe abdominal pain and oliguria secondary to a volvulus of his ileal conduit. Investigations revealed early acute kidney injury as a result of urinary obstruction which was evident on abdominal CT. The patient subsequently underwent operative repair of the volvulus. Symptoms resolved following the procedure, kidney function improved and the patient was discharged without complication.

  • urological surgery
  • urology
  • general surgery

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Footnotes

  • Patient consent for publication Obtained.

  • Contributors RS initially saw the patient on his presentation, was part of the surgery and looked after him until discharge. He gained consent from the patient to write up the case report. He also undertook the literature research and was the primary person who wrote up the case report. NA was the case consultant. He captured the operative images during the procedure. He was involved with the planning of the case report and provided guidance on how to approach it. He also helped undertake the literature review. He was the main editor of the case report and made changes that he felt appropriate following RS first draft.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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