Urinary Diversion with Left Sided Ileal Conduit for Neurogenic Bladder in a Patient with Sacral Agenesis and Situs Inversus: A Case Report

TL;DR

A 23-year-old man with rare spinal and organ development issues successfully had a left-sided urinary diversion surgery to manage bladder problems.

Contribution

This case report demonstrates the feasibility of left-sided ileal conduit in managing neurogenic bladder with sacral agenesis and situs inversus.

Findings

Left-sided ileal conduit was successfully used for urinary diversion in a patient with sacral agenesis and situs inversus.

Postoperative recovery showed improved renal function and quality of life.

Left-sided diversion is a safe option when right-sided diversion is not possible.

Abstract

Sacral agenesis is a rare cause of neurogenic bladder which leads to urinary incontinence, recurrent urinary tract infections, and progressive renal dysfunction. The coexistence with situs inversus adds anatomical complexity, posing challenges in clinical and surgical management. We reported a case of a 23-year-old male with sacral agenesis and situs inversus presenting with incontinence and recurrent urinary tract infections. The patient was non-compliant to clean intermittent selfcatheterization. He underwent successful urinary diversion with a left-sided ileal conduit. Postoperative recovery was uneventful, with improved renal parameters and quality of life. Urinary diversion using a left-sided ileal conduit is a rare but feasible option for treatment when right-sided diversion is contraindicated. This case highlights that left-sided ileal conduit is a safe and effective option in managing neurogenic bladder in the context of sacral agenesis and situs inversus, underscoring the need for early recognition and individualized surgical planning in congenital anomalies.

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