Congenital bladder diverticulum in a child: Surgical steps of extra-vesical excision

Nerli, Rajendra B; Ghagane, Shridhar C; Musale, Abhijit; Deole, Sushant; Hiremath, Murigendra B; Dixit, Neeraj S; Pathan, Parveen

doi:10.1016/j.eucr.2018.10.009

Cited by 4 publications

(5 citation statements)

References 2 publications

(5 reference statements)

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“…The transvesical approach allows complete resection of the bladder diverticulum and possible ureteral reimplantation. In huge bladder diverticula, a combination of extra‐ and intravesical approaches may also be used 12,33,34 . Laparoscopic surgery, 44,45 pneumovesicoscopic surgery, 46 and robotic‐assisted diverticulectomy 47 are all acceptable modalities for bladder diverticulum excision.…”

Section: Discussionmentioning

confidence: 99%

“…16,32 Patients with congenital bladder diverticula are usually asymptomatic, although they may present with UTI, stone formation, VUR, hematuria, UR, and in rare cases, diverticular rupture or ureteral obstruction. 13,16,[32][33][34][35][36] A low-lying congenital bladder diverticulum may cause bladder outlet obstruction; by impinging on the bladder neck and urethra after being filled with urine. 37 Acquired bladder diverticula occur due to an aberrant increase in intravesical pressure.…”

Section: F I G U R Ementioning

confidence: 99%

“…In huge bladder diverticula, a combination of extra-and intravesical approaches may also be used. 12,33,34 Laparoscopic surgery, 44,45 pneumovesicoscopic surgery, 46 and robotic-assisted diverticulectomy 47 are all acceptable modalities for bladder diverticulum excision. Ureteral reimplantation has not been advised for all patients except those with ipsilateral VUR.…”

Section: F I G U R Ementioning

confidence: 99%

See 2 more Smart Citations

Three rare etiologies of urinary retention in pediatrics: A case series and review of the literature

Hekmati,

Arshadi,

Kamran

et al. 2023

Clinical Case Reports

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Section: Discussionmentioning

confidence: 99%

Section: F I G U R Ementioning

confidence: 99%

Section: F I G U R Ementioning

confidence: 99%

See 1 more Smart Citation

Three rare etiologies of urinary retention in pediatrics: A case series and review of the literature

Hekmati,

Arshadi,

Kamran

et al. 2023

Clinical Case Reports

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show abstract

“…Active treatment of the primary disease is critical to the prognosis. Surgical treatment is required when bladder diverticulum is associated with recurrent urinary tract infection, causes oppressive symptoms, or is suspected of malignant transformation (3). Laparoscopic bladder diverticulectomy has replaced traditional open surgery as the main surgical method at present.…”

Section: Discussionmentioning

confidence: 99%

“…Compared with adults, where it is caused by bladder outlet obstruction, bladder diverticulum in children is often congenital and accompanied by vesicoureteral reflux. Pathological specimens often contain dysplastic muscles (3). The combination of giant bladder diverticulum and SIT is rare.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic bladder diverticulectomy in a child with situs inversus totalis: A case report and literature review

et al. 2022

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Situs inversus totalis (SIT) is a rare internal laterality disorder characterized by the mirror arrangement of organs. Multiple gene mutations and maternal environmental factors are thought to cause this variation. It is usually challenging to perform laparoscopic surgery in these cases. Bladder diverticulum is uncommon in children, with an incidence of 1.7%. We report a 14-year-old male patient who was admitted to our department because of lower abdominal pain and frequent urination. A series of examinations confirmed the rare combination of giant bladder diverticulum and SIT. After extensive preoperative discussion, we performed laparoscopic bladder diverticulectomy. The operation was successful. To the best of our knowledge, this is the first report of successful laparoscopic bladder surgery on a case of SIT. This article summarizes the key technical points and the difficulties of performing this kind of operation. In addition, during the process of reviewing the literature, we found that SIT often coexists with some high-risk factors for bladder diverticulum in some rare syndromes. It is helpful to further understand and provide experience in the diagnosis and treatment of the rare combination of bladder diverticulum and SIT in children.

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Benign Adnexal Masses in Pediatric and Adolescent Females

Dun

Wong

2020

Endometriosis in Adolescents

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Congenital bladder diverticulum in a child: Surgical steps of extra-vesical excision

Cited by 4 publications

References 2 publications

Three rare etiologies of urinary retention in pediatrics: A case series and review of the literature

Three rare etiologies of urinary retention in pediatrics: A case series and review of the literature

Laparoscopic bladder diverticulectomy in a child with situs inversus totalis: A case report and literature review

Benign Adnexal Masses in Pediatric and Adolescent Females

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