Giant diverticulum of bladder. A case report at "Bengo" Provincial Hospital, Popular Republic of Angola
Keywords:
Diverticulum of bladder, Hematuria, Retropubic diverticulectomy.Abstract
Vesical diverticulum matches with the protrusion of the mucosa trough a defect in the detrusor urinae muscle. According to the origin it is classified as congenital or acquired and constitutes a very rare entity leading to bladder stone, cancer of bladder, vesicoureteral reflux and urinary sepsis. A 78-year old patient attended to "Bengo" State Provincial Hospital (Popular Republic of Angola) in August 2010 presenting hematuria at ending urination, sensation of full-bladder and pain at the level of hypograstrium. A round, painful at deep palpation of the hypograstrium, a tumor of 15cms diameter lateralized to the left at rectal-prostate touch having normal size and consistency was found at physical examination. The abdominal echography showed a giant diverticulum of bladder; the rest of the renal system was normal. Diverticulectomy was performed through retropubic approach, not detecting prostatic hypertrophy. No complications were observed during postoperative period, the patient was asymptomatic at the time this article was written. The low incidence of this entity and the size of diverticulum motivated the report of this case.Downloads
References
1. Ho K-LV, Segura JW. Lower urinary tract calculi. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia: Saunders Elsevier; 2007.
2. Gronlund A, Lendorf A, Lauritzen AF. "Bladder diverticulectomy: operative technique". Scand. J. Urol. Nephrol 1998 (32):98.
3. J. Rodríguez HH, Becar PF, Ossandón C, Reyes C, Concha GS, Vargas R. Alternativas quirúrgicas en Divertículo vesical gigante: 7 casos. Rev. Ped. Elec. [Internet]. 2006 [Citado 20 de marzo de 2010]; 3(3): [Aprox. 5p.]. Disponible en: http://www.revistapediatria.cl/vol3num3/resumen/r32.pdf
4. Garat JM, Angerri O, Caffaratti J, Moscatiello P. Divertículos vesicales congénitos en la infancia y reflujo vésico-ureteral. Arch Esp Urol. [Internet]. 2008 [Citado 20 de febrero de 2010]; 61(2): [Aprox. 5p.]. Disponible en: http://scielo.isciii.es/scielo.php?pid=S0004-06142008000200027&script=sci_arttext
5. Blacklock AR, Geddes JR, Shaw RE. The treatment of large bladder diverticula. Br. J. Urol. 2005; 55(6):17-20.
6. Pizzi P, Castillo O, Carvajal D, Vitagliano G, Hidalgo F. Diverticulectomía vesical laparoscópica transperitoneal. Arch.Esp. [Internet]. 2006 [Citado 13 de mayo de 2011]; 59(8): [Aprox. 3p.]. Disponible en: http://scielo.isciii.es/scielo.php?pid=S0004-06142006000800008&script=sci_arttext
7. Gill IS. Laparoscopic surgery of the urinary bladder. In: Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, editors. Campbell-Walsh Urology. 9 th ed. [CD-ROM]. Philadelphia: Saunders Elsevier; 2007.
8. USA. American Cancer Society. Bladder cancer. [Internet]. Washington: ACS; 2012[Citado 24 de abril de 2011]; Disponible en: http://www.cancer.org/Cancer/BladderCancer/index
9. Janet M. Bladder cancer. JAMA. [Internet]. 2005 [Citado 8 de marzo de 2006]; 293(7). Disponible en: http://jama.ama-assn.org/content/293/7/890.full
10. Germany. National Cancer Institute. Bladder Cancer Treatment (PDQ) Treatment statement for Patients. [Internet]. Bonn: National Cancer Institute; 2007. [Citado marzo 8, 2008]. Disponible en: http://www.meb.uni-bonn.de/Cancernet/CDR0000062705.html
11. Collar Rodríguez TL, García Monzón JA, Pérez Pérez M, Nagua Valencia MA. Divertículo vesical congénito gigante. Rev Cub Med Mil. [Internet]. 2010 [Citado 30 de abril de 2011]; 39(1). Disponible en: http://bvs.sld.cu/revistas/mil/vol_39_1_10 /mil09110.htm
12. Reyna-Villasmil E, Santos-Bolívar J, Peña-Paredes E. Rotura espontánea de vejiga urinaria post parto vaginal. Rev. chil. obstet. ginecol. [Internet]. 2009 [citado 2012 Abrl 09]; 74(1): [Aprox. 2p.]. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-75262009000100006&lng=es
13. Castiñeiras Fernández J. Libro del residente de Urología. Cap. 18. Madrid: Gráficas Marte; 2007.

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