Volvulus - a rare complication of ileal conduit

Abstract

Conduit volvulus is a very rare complication of ileal conduit. To date, only seven surgically confirmed cases have been reported. Conduit volvulus is a potentially reversible cause of renal impairment in patients with urinary diversion. The diagnosis depends on accurate radiological evaluation. The length of the bowel to construct the ileal conduit, closure of defects around the conduit and its mesentery and retroperitonealization of ureteroileal anastomosis are the determining factors for such a complication.

Ileal conduit volvulus: rare complication of urinary diversion

“…Symptoms of ileal conduit volvulus in reported cases consist of abdominal pain, nausea, vomiting, oliguria or anuria 6. In most cases, patients had generalised abdominal tenderness on examination.…”

Sigmakonduit Volvulus: eine extrem seltene Komplikation eines Sigmakonduit

“…Hierbei kann man bei rechtzeitiger Exploration das Konduit erhalten bzw. die nötigen Revisionen durchführen [12] und die Situation definitiv sanieren.…”

“…Die Symptome bei einem Konduit Volvulus zeigen sich als akute abdominelle Koliken, Übelkeit, Erbrechen, Oligurie bis hin zur Anurie mit Niereninsuffizienz [6,12].…”