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  • Title: [Sigmoid carcinoma as a long-term complication following ureterosigmoidostomy].
    Author: Bredenoord AJ, Onaca MG, van Ramshorst B, Biesma DH.
    Journal: Ned Tijdschr Geneeskd; 2008 Jan 26; 152(4):213-5. PubMed ID: 18320948.
    Abstract:
    A 45-year-old woman, known to have a congenital exstrophy ofthe bladder, for which she underwent a ureterosigmoidostomy in her infancy, presented with fever. This was due to pyelonephritis, from which she recovered with antibiotic therapy. During colonoscopy a carcinoma of the sigmoid was found at the level of the anastomosis of the ureters. Patients with a ureterosigmoidostomy have a one hundred-fold increased risk of colon carcinoma compared to the general population. The development of malignant tumours as a long-term complication of this procedure is linked with the frequent contact between intestinal tissue and urine. Periodical colonoscopy of these patients is advised.
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