近年来,结肠代膀胱手术的使用得到了推广,因为它没有返流,最重要的是,吻合口狭窄的发生率较低。不幸的是继输尿管乙状结肠吻合术后乙状结肠癌的报导有增加,更担忧的是腺癌也能是结肠代膀胱手术的远期并发症。作者报导1例在输尿管结肠吻合部位的腺癌。病人29岁、男性,3岁时做了输尿管乙状结肠移植,乙状结肠造瘘术,13岁时做了肾盂切开取石术。26岁时做了一次纠治吻合口狭窄的手术,三年后发现左腰痛,发热和肉眼血尿。确诊为克雷白氏(Klebs- In recent years, the use of colon replacement bladder surgery has been promoted because it has no regurgitation and most importantly, the incidence of anastomotic stenosis is low. Unfortunately, there is an increase in reports of sigmoid colon cancers following ureteral sigmoid anastomosis. What is even more worrying is that adenocarcinoma can also be a long-term complication of colon-versus-bladder surgery. The authors report a case of adenocarcinoma in the anastomotic ureter. Patient 29 years old, male, 3 years old when done ureteral sigmoid colon transplantation, sigmoidostomy, 13 years old did pyelolithotomy. At the age of 26, I had an operation to correct anastomotic stenosis. Three years later, I felt left-back pain, fever and gross hematuria. Diagnosed as Klebsiella (Klebs-