Giant Bladder Diverticulum as a Rare Cause of Intestinal Obstruction: Report of a Case

Mirow, Lutz; Brügge, Andreas; Fischer, F.; Roblick, Uwe J.; Durek, Christoph; Bürk, C.; Jocham, Dieter; Bruch, Hans–Peter

doi:10.1007/s00595-007-3457-0

Cited by 10 publications

(4 citation statements)

References 6 publications

(3 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Among the most frequently reported complications are recurrent urinary tract infections (up to 70%) [7], malignant intradiverticular tumors (0.8 to 13.5%) [2, 6], vesicoureteral reflux [4], ureteral obstruction (5–15%) [6, 7], and spontaneous rupture [8, 9]. Other rare complications reported in the literature for patients with giant diverticula include presentation with an inferior vena cava syndrome [7], subacute intestinal obstruction [4, 10], recurrent acute urinary retention [11], or exceptionally bilateral hydronephrosis [5], as in our case. New imaging techniques have largely replaced the classical retrograde urography and cystography as tools for completely characterising a diverticulum and planning appropriate surgical treatment.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Obstructive Uropathy Secondary to Giant Periureteral Diverticulum

Arteche

Manso

Gómez

et al. 2013

Case Reports in Urology

View full text Add to dashboard Cite

Bladder diverticula are herniations of the mucosa through the fibers of the bladder muscle connected by necks of variable amplitude. They are often asymptomatic, although they may lead to complications that require a surgical therapeutic approach. We report the case of a patient with bilateral obstructive uropathy secondary to a giant periureteral diverticulum that was treated by diverticulectomy and reimplantation of the left ureter in the bladder.

show abstract

Section: Discussionmentioning

confidence: 99%

Bilateral Obstructive Uropathy Secondary to Giant Periureteral Diverticulum

Arteche

Manso

Gómez

et al. 2013

Case Reports in Urology

View full text Add to dashboard Cite

show abstract

“…[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

View full text Add to dashboard Cite

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.

show abstract

“…CT: Computed tomography; EDS: Ehlers-Danlos syndrome; TUR-P: Transurethral prostatectomy; USG: Ultrasonography. caused intestinal obstruction [3][4][5] . The bladder is a hollow muscular organ that stores and evacuates urine.…”

Section: Acute Urinary Retention Intravenous Urography Diverticulectomentioning

confidence: 99%

“…Extrinsic obstruction secondary to distension of a giant vesical diverticulum is rare. To our knowledge, this is the fourth report of a vesical diverticulum causing disrupted defecation or intestinal obstruction in the English medical literature since 1957 [3][4][5] .…”

Section: Introductionmentioning

confidence: 99%

Giant vesical diverticulum: A rare cause of defecation disturbance

Akbulut

Çakabay²,

Sezgin³

et al. 2009

WJG

View full text Add to dashboard Cite

Vesical diverticula frequently result from bladder outlet obstructions. However, giant vesical diverticula which cause acute abdomen or intestinal obstruction are very rare. Our review of the English medical literature found 3 cases of bladder diverticula which caused gastrointestinal symptoms. Here, we present a 57-yearold man with a giant diverticulum of the urinary bladder who complained of abdominal pain, nausea and vomiting, constipation, no passage of gas or feces, and abdominal distension for 3 d. A 20 cm × 15 cm diverticulum was observed upon laparotomy. The colonic obstruction was secondary to external compression of the rectum against the sacrum by a distended vesical diverticulum. We performed a diverticulectomy and primary closure. Twelve months postoperatively, the patient had no difficulty with voiding or defecation.

show abstract

Giant Bladder Diverticulum as a Rare Cause of Intestinal Obstruction: Report of a Case

Abstract: We report a case of intestinal obstruction as an unusual manifestation of bladder diverticulum. To our knowledge, this is the first report of a giant bladder diverticulum causing acute abdomen as a result of mechanical bowel obstruction.

Cited by 10 publications

References 6 publications

Bilateral Obstructive Uropathy Secondary to Giant Periureteral Diverticulum

Bilateral Obstructive Uropathy Secondary to Giant Periureteral Diverticulum

An atypical bladder diverticulum presented with recurrent peritonitis: case report

Giant vesical diverticulum: A rare cause of defecation disturbance

Contact Info

Product

Resources

About