Surgical management of primary bladder diverticula in children

Evangelidis, Apostolos; Castle, Erik P.; Ostlie, Daniel J.; Snyder, Charles L.; Gatti, John M.; Murphy, John P.

doi:10.1016/j.jpedsurg.2005.01.003

Cited by 35 publications

(24 citation statements)

References 4 publications

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“…These muscle fibers are usually of inadequate quantity to empty the urine from the diverticula. [1,2] In contrast to the typical presentation, in the presented case, the muscle layer was thick and the diverticulum was located close to the dome of the bladder. Our patient did not have any complaints during the period between the two acute abdominal attacks, which might have been due to the location and histological characteristics of the diverticulum.…”

contrasting

confidence: 70%

“…[1][2][3] They may also be associated with vesicoureteral reflux. [3,4,8] Although male predominance was noted in most reports, Blane et al reported that 59% of primary diverticula were in girls.…”

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%

“…Primary diverticula develop as a result of congenital weakness of Waldeyer's facial sheath, without bladder outlet disorder, whereas secondary diverticula usually occur as a result of neurogenic bladder or infravesical obstructions, such as in the posterior urethral valve. [1][2][3] Stage et al [4] described iatrogenic diverticula that occur as a result of ureteral reimplantation, suprapubic cystostomy, or after closure of the rectovesical fistula as a third group. The most frequent clinical presentation of vesical diverticula is urinary tract infection.…”

mentioning

confidence: 99%

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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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contrasting

confidence: 70%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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An atypical bladder diverticulum presented with recurrent peritonitis: case report

Temız¹,

Akçora²,

Atık³

2011

Ulus Travma Acil Cerrahi Derg

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“…3 CBDs are associated with a variety of genitourinary complications, such as infections and voiding dysfunction. 4 We report a very rare entity of bilateral congenital bladder diverticulum with calculi resulting from lower urinary tract symptoms (LUTS).…”

Section: Introductionmentioning

confidence: 99%

A rare entity in adults: Bilateral Hutch diverticulum with calculi

Telli

Güçlü

Haciyev

et al. 2015

CUAJ

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Congenital bladder diverticulum (CBD) is a very uncommon entity in adults. CBD could be unilateral or bilateral and is caused by a congenital weakness in the bladder musculature. CBD is differentiated from the paraureteral or Hutch type of diverticula. A 42-year-old male presented with bilateral Hutch diverticulum and multiple diverticulum calculus on intravenous pyelography. Cystoscopy revealed bladder diverticulum just medial to the left ureteral orifice with multiple calculi; the patient successfully underwent endoscopic laser cystolithotripsy with resolution of his urinary tract infection. To the best of our knowledge, this is the first case report presenting stone formation of CBD in an adult.

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Bladder Diverticulectomy

Chalmers

Campbell

2013

Pediatric Endourology Techniques

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Surgical management of primary bladder diverticula in children

Cited by 35 publications

References 4 publications

An atypical bladder diverticulum presented with recurrent peritonitis: case report

An atypical bladder diverticulum presented with recurrent peritonitis: case report

A rare entity in adults: Bilateral Hutch diverticulum with calculi

Bladder Diverticulectomy

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