Massive stone burden in an ileocecal pouch: A preventable condition?

The challenges of transition from the pediatric to the adult setting have been reported. We describe a case of massive stone burden in the ileocecal pouch of a patient lost to follow-up after his transfer from a pediatric to an adult institution. Although we successfully managed the patient and retrieved the pouch stones without any complications, several surgical complications may occur in a patient with a history of extensive abdominal surgery and bladder exstrophy. This patient's late complication might have been prevented with a more efficient transfer from a pediatric to an adult institution.