Primary Carcinoid Tumor of the Ileal Efferent Limb of an Ileovesicostomy: A Case Report. (26th October 2011)

• Record Type: Journal Article
• Authors: Mellis, Adamantios M.; Parker, Daniel C.; Buethe, David D.; Slobodov, Gennady
• Other Names: Henningsohn L. Academic Editor.; Lee H.-L. Academic Editor.; Madbouly K. Academic Editor.; Saito M. Academic Editor.
• Is Part Of: Case reports in urology. Volume 2011(2011)
• Publication Date: 2011-10-26
• Subjects: Urology -- Periodicals; Urology -- Case studies -- Periodicals; Genitourinary organs -- Diseases -- Periodicals; Urologic Diseases; Genitourinary organs -- Diseases; Urology; Periodicals; Case studies; Periodicals; 616.6005
• DOI: 10.1155/2011/191702
• Languages: English
• ISSNs: 2090-696X

Abstract

Abstract : We report on the evaluation and management of a 47-year-old white male found to have primary carcinoid tumor of the ileal segment of his diverting ileovesicostomy thirty-five months after initial creation. Subsequent to presentation with intermittent gross hematuria, CT urogram highlights an 8 mm enhancing lesion near the enterovesical junction of urinary diversion. Office cystoscopy confirms presence of a lesion that was later endoscopically resected and found to be a well-differentiated carcinoid tumor. Evaluation with serum markers, direct visualization utilizing endoscopy, and imaging was without finding of alternate primary or metastatic lesions. The patient ultimately had the proximal ileal portion of his ileovesicostomy excised and the distal portion converted into an ileal conduit. After briefly discussing the carcinoid tumor and the carcinoid syndrome it may cause, we review the literature on the incidence of carcinoid tumors in a population requiring the use of intestine in the urinary tract.