Skip to main content

Advertisement

Log in

Carcinoma at the site of ureterosigmoidostomy

  • Published:
Diseases of the Colon & Rectum

Abstract

A 31-year-old woman who had undergone bilateral ureterosig-moidostomy at age five had a moderately differentiated adenocarcinoma at the anastomotic site that was not detected by preoperative studies or intraoperative palpation. The authors review other reports of anastomotic carcinoma occurring after ureterosigmoidostomy for benign disease and recommend a diagnostic protocol. Whenever the urine is diverted away from the sigmoidostomy (rediversion), the anastomotic site should be resected. Ureterosigmoidostomy should be undertaken only with the understanding that meticulous long-term follow-up is mandatory.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Simon J: Ectopia vesicae (absence of the anterior walls of the bladder and public abdominal parietes): operation for directing the orifices of the ureters into the rectum. Temporary success: subsequent death: autopsy. Lancet 1852;2:568.

    Article  Google Scholar 

  2. Bricker EM: Bladder substitution after pelvic evisceration. Surg Clin North Am 1950;30:1511–21.

    PubMed  CAS  Google Scholar 

  3. Pierce EH Jr, Zickerman P, Leadbetter GW Jr: Ureterosigmoidostomy and carcinoma of the colon. Trans Am Assoc Genitourin Surg 1979;70:92–8.

    Google Scholar 

  4. Labow SB, Hoexter B, Walrath DC: Colonic adenocarcinomas in patients with ureterosigmoidostomies. Dis Colon Rectum 1979;22:157–8.

    PubMed  CAS  Google Scholar 

  5. Dube S., Perrealt J-P, Dumont A, Bernard D: Colorectal neoplasm: a rare complication of ureterosigmoidostomy. Can J Surg 1979;22:484–6.

    PubMed  CAS  Google Scholar 

  6. Eraklis AJ, Folkman MJ: Adenocarcinoma at the site of ureterosigmoidostomy for exstrophy of the bladder. J Pediatr Surg 1978;13:730–4.

    Article  PubMed  CAS  Google Scholar 

  7. Recht KA, Belis JA, Kandzari SJ, Milan DF: Ureterosigmoidostomy followed by carcinoma of the colon. Cancer 1979;44:1538–42.

    Article  PubMed  CAS  Google Scholar 

  8. Hammer E: Cancer du colon sigmoide dix ans apres implantation des uretères d'une vessie vessie exstrophiée. J Urol (Paris) 1929;28:260–3.

    Google Scholar 

  9. Dixon CF, Weismann RE: Polyps of the sigmoid occurring thirty years after bilateral ureterosigmoidostomy for exstrophy of the bladder: report of a case. Surgery 1948;24:1026–34.

    PubMed  CAS  Google Scholar 

  10. Wilson LL: Carcinomatous ureteric obstruction thirty years after uretero-sigmoidostomy. Aust NZ J Surg 1957;27:158–9.

    CAS  Google Scholar 

  11. Aldis AS: Carcinoma of the colon following transplantation of the ureters, and at the site of the transplantation. Proc R Soc Med 1961;54:159–60.

    PubMed  CAS  Google Scholar 

  12. Kozak JA, Watkins, WE, Jewell WR: Neoplastic stomal obstruction: a complication of ureterosigmoidostomy. J Urol 1966;96:691–6.

    PubMed  CAS  Google Scholar 

  13. Urdaneta LF, Duffell D, Creevy CD, Aust JB: Late development of primary carcinoma of the colon following ureterosigmoidostomy: report of three cases and literature review. Ann Surg 1966;164:503–11.

    Article  PubMed  CAS  Google Scholar 

  14. Ferguson LK: Discussion. Ann Surg 1966;164:513.

    Google Scholar 

  15. Kille JN, Glick S: Neoplasia complicating ureterosigmoidostomy. Br Med J 1967;4:783–8.

    PubMed  CAS  Google Scholar 

  16. Richter RM, Ginsberg SA: Late development of colonic carcinoma complicating ureterosigmoidostomy. Am J Surg 1967;113:843–5.

    Article  PubMed  CAS  Google Scholar 

  17. Oetjen LH Jr, Campbell JL, Thomley MW, Parsons RL: Carcinoma of the colon following ureterosigmoidostomy: report of a case. J Urol 1970;104:536–7.

    PubMed  Google Scholar 

  18. Whitaker RH, Pugh RCB, Dow D: Colonic tumours following uretero-sigmoidostomy. Br J Urol 1971;43:562–75.

    PubMed  CAS  Google Scholar 

  19. Brekkan E, Colléen S, Myrvold H, duReitz B, Schnürer L-B, Fritjofsson Å: Colonic neoplasia: a late complication of ureterosigmoidostomy. Scand J Urol Nephrol 1972;6:197–202.

    Article  PubMed  CAS  Google Scholar 

  20. Tank ES, Karsch DN, Lapides J: Adenocarcinoma of the colon associated with ureterosigmoidostomy: report of a case. Dis Colon Rectum 1973;16:300–4.

    PubMed  CAS  Google Scholar 

  21. Shapiro SR, Baez A, Colodny AH, Folkman J: Adenocarcinoma of colon at ureterosigmoidostomy site 14 years after conversion to ileal loop. Urology 1974;3:229–31.

    Article  PubMed  CAS  Google Scholar 

  22. Rivard J-Y, Bedard A, Dionne L: Colonic neoplasms following ureterosigmoidostomy. J Urol 1975;113:781–6.

    PubMed  CAS  Google Scholar 

  23. Harguindey SS, Kolbeck RC, Bransome ED Jr, Ureterosig-moidostomy and cancer: new observations (letter). Ann Intern Med 1975;83:833.

    PubMed  CAS  Google Scholar 

  24. Lindsey CM, Anderson EE, Paulson DF: Neoplasia of the colon: a late complication of ureterosigmoidostomy: South Med J 1976;69:501–4.

    PubMed  CAS  Google Scholar 

  25. Carswell JJ III, Skeel DA, Witherington R, Otken LB Jr: Neoplasia at the site of ureterosigmoidostomy. J Urol 1976;115:750–2.

    PubMed  Google Scholar 

  26. Parsons CD, Thomas MH, Garrett RA: Colonic adenocarcinoma: a delayed complication of ureterosigmoidostomy. J Urol 1977;118:31–4.

    PubMed  CAS  Google Scholar 

  27. Sooriyaarachchi GS, Johnson RO, Carbone PP: Neoplasms of the large bowel following ureterosigmoidostomy. Arch Surg 1977;112:1174–7.

    PubMed  CAS  Google Scholar 

  28. Leadbetter GW Jr, Zickerman P, Pierce E: Ureterosigmoidostomy and carcinoma of the colon. J Urol 1979;121:732–5.

    PubMed  Google Scholar 

  29. Crissey MM, Steele GD, Gittes RF: Rat model for carcinogenesis in ureterosigmoidostomy. Science 1980; 207:1079–80.

    Article  PubMed  CAS  Google Scholar 

  30. Goodwin WE: Discussion. Ann Surg 1966;164:513.

    Google Scholar 

  31. Rossini FP, Ferrari A, Rizzello N: Fiberendoscopic evaluation of ureterosigmoidostomies. Endoscopy 1979;11:249–52.

    Article  PubMed  CAS  Google Scholar 

  32. Gittes RF: Tumors of the ureter and renal pelvis. In: Harrison HJ, Gittes RF, Perlmutter AD, Stamey TA, Walsh PC (eds.): Campbell's Urology, Ed. 4, Philadelphia: WB Saunders, 1970:1012.

    Google Scholar 

  33. Sousha S, Scott J, Polak J: Ileal loop carcinoma after cystectomy for bladder exstrophy. Br Med J 1978;2:397–8.

    Google Scholar 

  34. Hendren WH: Exstrophy of the bladder: an alternative method of management. J Urol 1976;115:195–202.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

About this article

Cite this article

Sheldon, C.A., McKinley, C.R., Hartig, P.R. et al. Carcinoma at the site of ureterosigmoidostomy. Dis Colon Rectum 26, 55–58 (1983). https://doi.org/10.1007/BF02554685

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02554685

Key words

Navigation