Orthotopic neobladder creation using a variety of intestinal segments
has become a standard method of urinary tract reconstruction after rad
ical cystectomy. Complications of this procedure have been reported in
up to 30% of patients.(1) Late complications include small bowel obst
ruction, ureteroenteric stricture and stone formation. We describe a r
are late complication of spontaneous drainage of an appendiceal absces
s into a sigmoid neobladder.