Obstrucción intestinal subaguda debido a divertículo vesical gigante

Large bowel obstruction caused by urinary retention from benign prostate hyperplasia

“…Although both urinary retention and acute bowel obstruction are common clinical conditions, it is hardly recognized that both conditions occur at the same time and bladder distention contributes to intestinal obstruction manifesting as a surgical abdomen. We are aware several authors have reported similar cases in the literature [1] , [4] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] . One has to remember that bowel obstruction secondary to urinary retention exists in female patients too [14] .…”

Bilateral Obstructive Uropathy Secondary to Giant Periureteral Diverticulum

“…The diagnosis is made early in childhood, and diverticula are usually solitary and occur more frequently in males [2]. Diverticula are usually caused by a weakness of the ureterovesical junction secondary to a developmental abnormality, although in exceptional cases they may be part of a connective tissue disorder such as Ehlers-Danlos syndrome [3], Williams syndrome, and Menkes syndrome or Tricholipodystrophy [4]. Acquired or secondary diverticula occur more frequently in patients with an intravesical urinary obstruction (e.g., benign prostatic hypertrophy, prostate cancer, urethral strictures, and posterior urethral valves) or vesico-sphincter dyssynergia [5].…”

“…Characteristic diverticulum symptoms include mictionation in two phases (for delayed emptying of the urine retained in the diverticulum) and the sensation of a weight or lump in the lower abdomen that worsens with bladder filling [6]. 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.…”

“…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.…”