20153              URETERIC IMPLANTS INTO ILEUM

The patient was a man aged 71.  Carcinoma of the bladder was detected 2 years previously and was treated by transurethral resection and radiotherapy.  Thereafter he had numerous admissions with pyelonephritis, haematuria and septicaemia.  Finally a total cystectomy and ileal loop diversion was performed.  He made a good post-operative recovery but died suddenly of myocardial infarction 2 weeks after the operation.

The specimen consists of slices of both kidney (on the left in the jar) shows 2 large simple cysts and a few smaller cysts but the renal substance shows little abnormality and the pelvis is not inflamed.  The left kidney measures 10 cms in length and shows some pyelonephritic contraction.  It too is studded with simple cysts.  The pelvis is not inflamed but there is moderate intrarenal hydronephrosis.  Both ureters are dilated.  The suture lines at the implants are intact and the ureteric orifices are patent.