Ileal neobladder adenocarcinoma occurring twenty-five years post ileocystoplasty: a case report.

De-tubularised ileum is one of the most common segments used for augmentation cystoplasty. It is associated with complications such as metabolic disturbances, recurrent urinary tract infections, and stone formation. However, adenocarcinoma arising in an augmented bladder is a rare occurrence. We report a 37-year-old female, case of ileocystoplasty 25 years ago due to a thimble bladder (genitourinary tuberculosis) who presented with hematuria for one month. Cystoscopy showed bladder mass in the transposed ileal segments. The patient underwent transurethral resection of the bladder lesion, and the histopathology was suggestive of adenocarcinoma of the ileum. Subsequently, she underwent anterior pelvic exenteration and post-operative recovery was uneventful. The 6-month follow-up showed that the patient was asymptomatic without recurrence. In conclusion, even though adenocarcinoma in the ileal neobladder is rare, life-long with close follow-up with routine cytologic, radiologic, and cystoscopic evaluation for early cancer detection and treatment at an early stage is crucial.

A Rare Case of Urinary Bladder Exstrophy Presenting With Signet Ring Cell Adenocarcinoma in an Adult.

Due to the conspicuous morphology of the deformity and the fact that primary reconstruction is typically performed in infancy, untreated bladder exstrophy in adults is infrequent. An adult presenting with bladder exstrophy is quite uncommon. We present a 32-year-old man with a bladder mass that existed since birth. He complained of an unpleasant discharge from the mass upon presentation, and on examination, a mass was seen on the urinary bladder's exposed surface, coupled with penile epispadias, a deformed scrotum, and undersized bilateral testicles. Ultrasonography of the kidneys, ureters and urinary bladder (USG KUB), contrast-enhanced computed tomography (CECT) of the abdomen and pelvis, and mass biopsy were all used to investigate the patient. The patient was found to have signet ring adenocarcinoma of the urinary bladder. A radical cystectomy with an anterolateral thigh flap was performed. The clinical and radiological characteristics, treatments, and results of this uncommon presentation are discussed in this case report.

Concomitant Vaginal Laceration and Urinary Bladder Injury With Pubic Diastasis: A Case Report on a Rare Complication During Obstructed Labor.

A serious uro-obstetric emergency is the concurrent rupture of the uterine and urine bladder following a protracted difficult delivery. In the absence of circumstances that would make the bladder more likely to cling to the lower uterine segment, the involvement of the urinary bladder in a primigravida is unique and relatively infrequent. We discuss a case of a 21-year-old patient who had an obstructed labor complicated with bladder and vaginal injury. At laparotomy, we found a pubic bone diastasis, a vaginal injury, and a bladder injury at the urethrovesical junction. As a result, bladder neck repair with urethrovesical anastomosis and vaginal repair with an external fixator were carried out for pubic bone diastasis.