Recurrent multiple pouch calculi - A Case Report

Abstract : 58 year old gentleman, a known case of carcinoma bladder, presented with complaints ofright side abdominal pain since 1 month. Pain was dull aching type and non radiating. No otherspecific urological complaints. Patient had undergone TURBT. 21 years back which revealedTransitional Cell Carcinoma grade 2, muscle invasive. Patient then underwent radical cystectomy ,with continent colonic pouch with appendiceal stoma. Patient developed a pouch calculus of 3X2 cmsfor which pouch scopy and lithotripsy done in 1998. Patient had recurrence of pouch calculi in 2002for which pouch exploration and extraction of multiple calculi (5 in number, largest measuring 5X5cms) was done. In this admission patient was found to have recurrence of pouch calculi for which heunderwent open poucholithotomy. The case is being presented to highlight a common recurrentcomplication of continent colonic diversion.