Case Report: A Neocystostomy Perforation Presenting as a Gallstone

An 83-year-old man, with a surgical history of radical cystectomy with simultaneous construction of a neobladder 13 years ago, presented clinically and radiologically as acute cholecystitis. Upon emergent exploratory laparotomy for his acute deterioration, a perforated neobladder was identified with...

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Main Authors: R. Kalra, A. Reyad, D. Gordon, D. Verna, Y. Youssef
Format: Article
Language:English
Published: Elsevier 2015-09-01
Series:Urology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214442015000431
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author R. Kalra
A. Reyad
D. Gordon
D. Verna
Y. Youssef
author_facet R. Kalra
A. Reyad
D. Gordon
D. Verna
Y. Youssef
author_sort R. Kalra
collection DOAJ
description An 83-year-old man, with a surgical history of radical cystectomy with simultaneous construction of a neobladder 13 years ago, presented clinically and radiologically as acute cholecystitis. Upon emergent exploratory laparotomy for his acute deterioration, a perforated neobladder was identified with its spilled stones in the gallbladder fossa, mimicking acute cholecystitis. This is the first case report of this presentation. Neobladder perforations should be considered in any patient who has undergone orthotopic bladder substitution, no matter how long it has been since the original reconstruction.
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spelling doaj.art-3df7e9347c3e4bab8517efe9970938592022-12-22T03:23:14ZengElsevierUrology Case Reports2214-44202015-09-013514614810.1016/j.eucr.2015.03.007Case Report: A Neocystostomy Perforation Presenting as a GallstoneR. Kalra0A. Reyad1D. Gordon2D. Verna3Y. Youssef4University of Medicine & Health Science, USADepartment of Surgery, Sinai Hospital of Baltimore, Baltimore, MD, USADepartment of Surgery, Sinai Hospital of Baltimore, Baltimore, MD, USAUniversity of Medicine & Health Science, USADepartment of Surgery, Sinai Hospital of Baltimore, Baltimore, MD, USAAn 83-year-old man, with a surgical history of radical cystectomy with simultaneous construction of a neobladder 13 years ago, presented clinically and radiologically as acute cholecystitis. Upon emergent exploratory laparotomy for his acute deterioration, a perforated neobladder was identified with its spilled stones in the gallbladder fossa, mimicking acute cholecystitis. This is the first case report of this presentation. Neobladder perforations should be considered in any patient who has undergone orthotopic bladder substitution, no matter how long it has been since the original reconstruction.http://www.sciencedirect.com/science/article/pii/S2214442015000431NeobladderRadical cystectomyPerforationCholecystitis
spellingShingle R. Kalra
A. Reyad
D. Gordon
D. Verna
Y. Youssef
Case Report: A Neocystostomy Perforation Presenting as a Gallstone
Urology Case Reports
Neobladder
Radical cystectomy
Perforation
Cholecystitis
title Case Report: A Neocystostomy Perforation Presenting as a Gallstone
title_full Case Report: A Neocystostomy Perforation Presenting as a Gallstone
title_fullStr Case Report: A Neocystostomy Perforation Presenting as a Gallstone
title_full_unstemmed Case Report: A Neocystostomy Perforation Presenting as a Gallstone
title_short Case Report: A Neocystostomy Perforation Presenting as a Gallstone
title_sort case report a neocystostomy perforation presenting as a gallstone
topic Neobladder
Radical cystectomy
Perforation
Cholecystitis
url http://www.sciencedirect.com/science/article/pii/S2214442015000431
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