Presentation
Abdominal pain. Prior urological surgery overseas several years ago.
Patient Data
Age: 50 years
Gender: Male
From the case:
Cutaneous urostomies
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Total cystectomy. Bilateral non obstructed cutaneous urostomies.
Rectal anastomoses.
No recurrent disease in the pelvis.
Extensive multifocal cortical atrophy in both kidneys. The right kidney is considerably more atrophic than the left.
The remainder of the solid organs are unremarkable. No adrenal or peritoneal nodules.
No infradiaphragmatic lymphadenopathy. No sinister focal bone lesion.
Small non-obstructed left spigelian hernia.
Comment: No recurrent disease or urinary tract obstruction
Case Discussion
Cutaneous urostomies are very uncommon in contemporary medicine. An ileal conduit is the typical form of urinary diversion.
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