Case Report
Volume: 3 | Issue: 2 | Published: Feb 23, 2019 | Pages: 74 - 77 | DOI: 10.24911/ejmcr/173-1543438037
Diagnostic assessment of hematuria from the ileal conduit of a patient with a history of radical cystoprostatectomy and nephroureterectomy: A case report
Authors: Kostas Chondros , Athanasios Klambatsas , Konstantinos Graikos , Nikolaos Dimasis
Article Info
Authors
Kostas Chondros
Department of Urology, General Hospital of Rethymnon, Rethymnon, Greece
Athanasios Klambatsas
Department of Urology-Oncology, Theageneio Cancer Hospital of Thessaloniki, Thessaloniki, Greece
Konstantinos Graikos
Department of Urology, General Hospital of Rethymnon, Rethymnon, Greece
Nikolaos Dimasis
Department of Urology-Oncology, Theageneio Cancer Hospital of Thessaloniki, Thessaloniki, Greece
Publication History
Received: November 28, 2018
Revised: December 18, 2018
Accepted: February 17, 2019
Published: February 23, 2019
Abstract
Background Radical cystoprostatectomy (RC) with ileal conduit reconstruction represents a standard of care procedure for advanced bladder cancer. Patients submitted to RC and urinary diversions are at high risk of developing recurrent tumors or other complications related to the diversion. Lifelong diagnostic follow-up is recommended in these patients. Case presentation We present a case of a patient with a history of RC and nephroureterectomy for upper tract recurrence who developed gross hematuria 8 years after his initial treatment. The patient was exposed to several diagnostic steps including imaging, laboratory and endoscopic examinations. Conclusion Patients with advanced and recurrent urothelial cancer who present with gross hematuria need a stepwise diagnostic approach which is difficult and complicated in many cases.
Keywords: Hematuria, radical cystoprostatectomy, ileal conduit, nephroureterectomy, endoscopy, bladder cancer, green