Ileal conduit

A 71-year-old woman developed lithium toxicity (serum concentration 2.1 mmol/l) because of increased absorption of urinary lithium from the bowel following urinary diversion with ileal conduits for stress incontinence (547). 

Alhasso A, Bryden AA, Neilson D. Lithium toxicity after urinary diversion with ileal conduit. BMJ 2000 320(7241) 1037. 

Fig. 7.7. Patient with a leak from an ileal conduit. (Pelvic malignancy and radiotherapy resulted in poor healing.) Urine diversion was achieved via bilateral nephrostomies and a JJ stent crossing from one ureter to other. Stent snared at 6 weeks and removed via the nephrostomy track...

Fig. 7.9a-c. Previous cystectomy for transitional cell carcinoma of the bladder subsequent left nephrectomy for carcinoma of the renal pelvis, a Leak from left ureter (ileal conduit), b Cyanoacrylate glue plugging ureter (arrow), c Contrast study next day carried out with the patient in a prone position, resulting in reversal of the image no leak shown... 

This is a related aspect of malignant ureteric obstruction, in patients with an ileal conduit fol-... 

Cloacal extrophy, bladder extrophy, and epispadias are developmental abnormalities of ranging severity, as a result of disruption of the formation and opposition of the pelvic bones, the cavitation of the pelvic organs, and the partitioning of the pelvic cavity (see also Chap. 9). Urinary tract diversion using an ileal conduit to treat this and other bladder abnormalities... 

Fig. 18.10. IVU in a patient with urinary tract diversion using an ileal conduit. There is significant right hydronephrosis due to stone development at the pelviureteric junction (arrowhead)...

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