Department of Urology, Northern Care Alliance NHS Group, Manchester, UK
Department of Histopathology, Northern Care Alliance NHS Group, Oldham, UK.
BMJ Case Rep. 2021 Jan 28;14(1):e238818. doi: 10.1136/bcr-2020-238818.
A 58-year-old woman with a previous clam ileocystoplasty was referred to the urology department for the investigation of haematuria. CT urogram showed a large left-sided soft tissue mass arising from the bladder. Histological analysis of the shavings from transurethral resection revealed a G3pT2 transitional cell carcinoma and T4N1Mx adenocarcinoma. The patient was referred to oncology for the discussion of palliative chemotherapy; however, in the interim she deteriorated and was admitted to hospital with a post-renal acute kidney injury. A right-sided nephrostomy was inserted relieving her obstruction and she subsequently made a good recovery. This case report illustrates the difficulties in the long-term follow-up of patients having undergone what is now a rarely performed procedure. In the absence of regular cystoscopic follow-up post ileocystoplasty, malignancy may present late and with complications from advanced disease.
一位 58 岁女性，曾行 Cloquet 回肠膀胱术，因血尿就诊于泌尿科。CT 尿路造影显示左侧膀胱巨大软组织肿块。经尿道切除组织的组织学分析显示 G3pT2 移行细胞癌和 T4N1Mx 腺癌。患者被转至肿瘤科讨论姑息性化疗；然而，在此期间她病情恶化，因肾后性急性肾损伤而住院。行右侧肾造口术解除梗阻，随后她恢复良好。本病例报告说明了对接受现在很少进行的手术的患者进行长期随访的困难。在 Cloquet 回肠膀胱术后没有定期进行膀胱镜检查的情况下，恶性肿瘤可能出现较晚，并伴有晚期疾病的并发症。
