Marino B M, Vitale L, Kiss A, Rossi R, Drago G W
Divisione di Chirurgia Generale, Ospedale Maggiore di Chieri, Torino.
Minerva Chir. 1994 Jan-Feb;49(1-2):81-3.
The paper reports a case of intestinal occlusion due to adenocarcinoma of the large intestine as a sequel to ureterosigmoidostomy for exstrophy of the bladder which was subsequently converted to ureteroileocutaneostomy. Inadequate follow-up did not allow an early diagnosis to be made. The authors underline the need for annual colonoscopy in all patients suffering from or with previous ureterosigmoidostomy given the high incidence of malignant transformation of the colon.
该论文报告了一例因大肠腺癌导致肠梗阻的病例,此为膀胱外翻输尿管乙状结肠吻合术后的后遗症,该手术随后转换为输尿管回肠皮肤造口术。随访不足导致未能早期诊断。作者强调,鉴于结肠恶性转化的高发生率,所有患有或曾接受输尿管乙状结肠吻合术的患者都需要每年进行结肠镜检查。