Villacis-Fonseca S, García-De León JM, Navarro-González A, Aguirre-Ramírez P

Language: Spanish
References: 11
Page: 35-38
PDF size: 930.72 Kb.

ABSTRACT

Introduction: Bladder diverticula are categorized as congenital (primary) or acquired (secondary). Congenital diverticula are rare and are the result of bladder mucosa weakness with protrusion of entire diverticular wall through the defect in the muscle wall. These congenital diverticula are frequently associated with posterior urethral valves or neurogenic bladder. A new case of giant congenital bladder diverticulum is presented here along with a description of its clinical manifestations, the studies employed to confirm diagnosis, and its treatment.
Clinical case: Patient is a 6-month old infant boy that was operated on at two months of age for acute abdomen. Surgery revealed bladder diverticulum. Ultrasound, urethrocystography, tomography, and cystoscopy studies showed one giant bladder diverticulum with neck positioned toward the left lateral wall. Intravesical and extravesical diverticulectomy plus left ureteral Politano-Leadbetter reimplantation was carried out, which is definitive treatment for patients with no factors obstructing the emptying of the bladder.
Conclusions: Exeresis of large congenital bladder diverticula is the safe and definitive solution for those patients presenting with urinary sepsis caused by these diverticula that do not present with concomitant factors obstructing bladder emptying. When obstruction exists it must be removed before or during diverticular surgery.

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