{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T13:14:33Z","timestamp":1772284473304,"version":"3.50.1"},"reference-count":14,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,12,23]]},"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>A 58-year-old woman with a previous clam ileocystoplasty was referred to the urology department for the investigation of haematuria. CT urogram showed a large left-sided soft tissue mass arising from the bladder. Histological analysis of the shavings from transurethral resection revealed a G3pT2 transitional cell carcinoma and T4N1Mx adenocarcinoma. The patient was referred to oncology for the discussion of palliative chemotherapy; however, in the interim she deteriorated and was admitted to hospital with a post-renal acute kidney injury. A right-sided nephrostomy was inserted relieving her obstruction and she subsequently made a good recovery. This case report illustrates the difficulties in the long-term follow-up of patients having undergone what is now a rarely performed procedure. In the absence of regular cystoscopic follow-up post ileocystoplasty, malignancy may present late and with complications from advanced disease.<\/jats:p>","DOI":"10.1136\/bcr-2020-238818","type":"journal-article","created":{"date-parts":[[2021,1,28]],"date-time":"2021-01-28T13:05:33Z","timestamp":1611839133000},"page":"e238818","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Mixed histology bladder cancer as a complication of clam ileocystoplasty"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5816-7151","authenticated-orcid":false,"given":"Lawrence","family":"Nip","sequence":"first","affiliation":[{"name":"Department of Urology, Northern Care Alliance NHS Group, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emil","family":"Salmo","sequence":"additional","affiliation":[{"name":"Department of Histopathology, Northern Care Alliance NHS Group, 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