Unusual course of a Bricker ileal conduit: stenosis from kinking and delayed bowel obstruction

Introduction: Ileal conduit diversion is a common surgical approach following radical cystectomy. This case report describes a rare complication of conduit torsion, which led to the obstruction of the urinary tract and the intestine. Case presentation: A 71-year-old female developed hydronephrosis after undergoing a Bricker ileostomy. Imaging studies showed that the conduit was narrowed due to torsion. Due to severe adhesions, the surgical correction failed. The patient received chronic stents. Six months later, the patient was readmitted for an intestinal obstruction and required surgical treatment. Discussion: Conduit torsion is a rare cause of postoperative obstruction. It may be caused by postoperative adhesions. The uniqueness of this case lies in the fact that the same problem simultaneously caused obstruction in both the urinary tract and the intestine. Early surgical intervention is crucial, but due to adhesions, it may present challenges. Conclusion: The torsion of an ileal conduit may lead to dual obstructions. Once identified, early surgical repair should be considered as soon as possible. Precise surgical procedures are essential for preventing such complications.