
An Unexpected Finding in a Patient with Suspected Urothelial Recurrence during Surveillance Post Radical Cystoprostatectomy for Urothelial Bladder Carcinoma
Author(s) -
Ibrahim Alkhafaji,
Harmony Uwadiae,
Hajir Al-Hashimi,
Ehab Abusada,
Shalom J. Srirangam,
Omar Al-Mula Abed
Publication year - 2022
Publication title -
journal of endoluminal endourology
Language(s) - English
Resource type - Journals
ISSN - 2561-9187
DOI - 10.22374/jeleu.v5i1.129
Subject(s) - medicine , cystoprostatectomy , asymptomatic , renal pelvis , urology , radiology , pelvis , surgery , ureter , bladder cancer , cystectomy , cancer
We report a 79-year-old gentleman with an asymptomatic intra-ureteric encrusted suture thread. He was found to have calcification in the left renal pelvis and thickening of the upper ureteric wall on a follow-up computerised tomography (CT) scan ten years after a radical cystoprostatectomy and ileal conduit formation for bladder and prostate cancer. These incidental CT scan findings raised the possibility of either ureteric stone or tumour. Subsequently, the patient underwent a ureterorenoscopy, which revealed a calcified 6cm length thread thought to be a suture that slipped intraoperative during his initial radical surgery ten years earlier.