Congenital Bladder Diverticula in Infants

Sarıhan, Haluk; Abeş, Musa

doi:10.1159/000019520

Cited by 25 publications

(12 citation statements)

References 19 publications

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“…According to reports of hydroureter and urine extravasation, the most common site for leakage is the caliceal fornix [9]. However, the presence of a diverticulum at the site of the rupture cannot be excluded in our patient, given that bladder diverticula have been described in patients with multicystic dysplastic kidneys [10,11].…”

Section: Discussionmentioning

confidence: 84%

Life-Threatening Hyponatremia and Acute Renal Failure due to Iatrogenic Neonatal Bladder Rupture

et al. 2011

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Neonatal urinary ascites is a rare entity, usually associated with a spontaneous rupture of the bladder with an underlying pathology such as high pressure or wall disruption. Its presentation involves abdominal distension, metabolic derangement and respiratory compromise. We report the case of a male neonate with solitary functioning kidney presented with life-threatening persistent hyponatremia and acute renal failure due to iatrogenic bladder rupture after catheterization. The aim of our report is to raise awareness on the possibility of bladder perforation in neonates even in the absence of technical faults. We discuss the uncommon presentation of our case and highlight the need for early recognition and management of urinary ascites, addressing all subspecialties involved in diagnostic or therapeutic procedures of neonates with urinary abnormalities.

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Section: Discussionmentioning

confidence: 84%

Life-Threatening Hyponatremia and Acute Renal Failure due to Iatrogenic Neonatal Bladder Rupture

et al. 2011

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“…They are usually asymptomatic and are discovered incidentally. Occasionally, a diverticulum may produce urinary obstruction as a result of compression of the urethra, or urinary tract infection arising from retention of urine within the diverticulum [11,12].…”

Section: Discussionmentioning

confidence: 99%

Giant bladder diverticulum

Tortorelli¹,

Rosa²,

Papa³

et al. 2011

Updates Surg

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We present the case of a 73-year-old man affected by progressive and painful abdominal distension and paresthesia/hypoesthesia at the left leg. US and CT-scan revealed the presence in the left retroperitoneum of a large cystic mass without parietal thickening or enhancement after contrast injection. This mass disappeared after positioning a vesical Foley's catheter and a retrograde cystography confirmed the suspected diagnosis of a large bladder diverticulum due to a severe prostatic hypertrophy; the patient underwent an open diverticulectomy and endoscopic prostatic resection. Bladder diverticula can occasionally appear as complex pelvic masses not obviously connected to the bladder, eventually leading to diagnostic confusion; while small size diverticulum resolves with relief of bladder outlet obstruction, open or laparoscopic diverticulectomy is needed in large size diverticulum if symptomatic, even considering the possible tumor harboring.

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“…[3,4,8] Although male predominance was noted in most reports, Blane et al reported that 59% of primary diverticula were in girls. [1,3,4,8,9] The most common symptom is urinary tract infection, which occurs as a result of urinary stasis in the diverticula. [1,3,5] Urinary stasis develops due to a lack of or an inadequate quantity of muscle on the diverticular wall that provides urinary flow.…”

Section: Discussionmentioning

confidence: 99%

“…[3,4] Less common clinical presentations, such as urinary retention (bladder outlet obstruction), intestinal obstruction and ureteral obstruction, may occur due to direct diverticular compression; however, ureteral obstruction may develop due to the inflammation secondary to diverticulitis. [2,5,9,10] Peritonitis due to spontaneous rupture of diverticula has been reported. [7] This clinical presentation is associated, in particular, with Ehlers-Danlos syndrome.…”

Section: Discussionmentioning

confidence: 99%

An atypical bladder diverticulum presented with recurrent peritonitis: case report

Temız¹,

Akçora²,

Atık³

2011

Ulus Travma Acil Cerrahi Derg

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Mesane divertikülleri detrusor kasının doğuştan zayıflığın-dan kaynaklanır. Sıklıkla divertikül içindeki üriner staz sunucu gelişen idrar yolları enfeksiyonu ile kendini gösterir. Mesane çıkım tıkanıklığı, alt ekstremitede siyanoz, intestinal tıkanıklık, üreteral tıkanıklık gibi divertikülün doğ-rudan basısı sonucu ve divertikülün kendiliğinden rüptü-re sonucu gelişen peritonit gibi farklı klinik tablolara neden olabilmektedir. Bu yazıda, perfore apandisiti taklit eden ve perforasyon olmadan tekrarlayan jeneralize peritonite neden olan mesane divertikülü olan bir olgu sunuldu.Anahtar Sözcükler: Mesane; çocuk; divertikül; peritonit.Bladder diverticula develop from congenital detrusor muscle defect and frequently present with urinary tract infection, which occurs as a result of urinary stasis in the diverticula. Different clinical presentations, such as bladder outlet obstruction, cyanosis of the lower extremities, intestinal obstruction, ureteral obstruction (which may occur due to direct diverticular compression), and peritonitis due to spontaneous rupture of the diverticula, were reported previously. Here, we report a case with the diagnosis of bladder diverticulum that caused recurrent generalized peritonitis without perforation and mimicked perforated appendicitis.

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Congenital Bladder Diverticula in Infants

Cited by 25 publications

References 19 publications

Life-Threatening Hyponatremia and Acute Renal Failure due to Iatrogenic Neonatal Bladder Rupture

Life-Threatening Hyponatremia and Acute Renal Failure due to Iatrogenic Neonatal Bladder Rupture

Giant bladder diverticulum

An atypical bladder diverticulum presented with recurrent peritonitis: case report

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