Bladder diverticulum and sepsis: Case report

Abstract

Introduction: Bladder diverticula are rare both in adults and in children and may be congenital or acquired, are rare in females.Objective: To describe the case of occasional finding of bladder diverticulum in women, which developed into sepsis. Discussion: Bladder diverticula are usually asymptomatic, and occasionally found more commonly in men. It is a rare condition in women and its clinical presentation is associated with infection or neoplasia. There are reports of peritonitis after spontaneous perforation of the diverticulum, however, its evolution to sepsis is rare Conclusion: Bladder diverticulum in women and evolving to sepsis without drilling is a rare condition, with few reports in the literature.

Spontaneous Rupture of a Urinary Bladder Diverticulum in Women: A Rare Cause of an Acute Abdomen

“…Congenital diverticula usually develop from fetal malformation, such as weakness of the ureterovesical junction or a posterior urethral valve [ 4 , 7 ]. Acquired diverticula are more common and usually associated with increased bladder pressure, caused by underlying disorders, such as prostatic or neurological diseases [ 2 , 4 ].…”

“…A bladder diverticulum (BD) is a mucosal protrusion through the detrusor muscle defect, composed of urothelial lining without a muscular layer [1][2][3]. The true incidence is unknown, being usually discovered incidentally during urologic exams [1,[4][5][6].…”