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Giant bladder diverticulum

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Abstract

We present the case of a 73-year-old man affected by progressive and painful abdominal distension and paresthesia/hypoesthesia at the left leg. US and CT-scan revealed the presence in the left retroperitoneum of a large cystic mass without parietal thickening or enhancement after contrast injection. This mass disappeared after positioning a vesical Foley’s catheter and a retrograde cystography confirmed the suspected diagnosis of a large bladder diverticulum due to a severe prostatic hypertrophy; the patient underwent an open diverticulectomy and endoscopic prostatic resection. Bladder diverticula can occasionally appear as complex pelvic masses not obviously connected to the bladder, eventually leading to diagnostic confusion; while small size diverticulum resolves with relief of bladder outlet obstruction, open or laparoscopic diverticulectomy is needed in large size diverticulum if symptomatic, even considering the possible tumor harboring

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References

  1. Gerridzen RG, Futter NG (1982) Ten-year review of vesical diverticula. Urology 20:33–35

    Article  PubMed  CAS  Google Scholar 

  2. Stephens FD (1979) The vesicoureteral hiatus and paraureteral diverticula. J Urol 121:786–791

    PubMed  CAS  Google Scholar 

  3. Kelalis PP, McLean P (1967) The treatment of diverticulum of the bladder. J Urol 98:349–352

    PubMed  CAS  Google Scholar 

  4. London RL (1984) Diverticulum of the urinary bladder. Am Fam Physician 30(4):151–153

    PubMed  CAS  Google Scholar 

  5. Melekos MD, Asbach HW, Barbalias GA (1987) Vesical diverticula: etiology, diagnosis, tumorigenesis, and treatment—analysis of 74 cases. Urology 30:453–457

    Article  PubMed  CAS  Google Scholar 

  6. Russell RCG, Williams NS, Bulstrode CJK (2000) Bailey and Love’s short practice of surgery, 23rd edn. Hodder Arnold, London, pp 1218–1219

    Google Scholar 

  7. Peterson LJ, Paulson DF, Glenn JF (1973) The histopathology of vesical diverticula. J Urol 110:62

    PubMed  CAS  Google Scholar 

  8. Micic S, Ilic V (1983) Incidence of neoplasm in vesical diverticula. J Urol 129(4):734–735

    PubMed  CAS  Google Scholar 

  9. Tamas EF, Stephenson AJ, Campbell SC, Montague DK, Trusty DC, Hansel DE (2009) Histopathologic features and clinical outcomes in 71 cases of bladder diverticula. Arch Pathol Lab Med 133:791–796

    PubMed  Google Scholar 

  10. Haecker A, Riedasch G, Langbein S, Alken P, Michel (2005) Diverticular carcinoma of the urinary bladder: diagnosis and treatment problems. A case report. Med Princ Pract 14(2):121–124

    Article  PubMed  Google Scholar 

  11. Suzuki K, Tanaka O, Saito T, Tokue A (2002) Giant bladder diverticulum due to previous bullet injury: findings of gadolinium-enhanced magnetic resonance imaging. Int J Urol 9:517–519

    Article  PubMed  Google Scholar 

  12. Sarihan H, Abes M (1998) Congenital bladder diverticula in infants. Eur Urol 33:101–103

    Article  PubMed  CAS  Google Scholar 

  13. Corbett HJ, Talwalker A, Shabani A, Dickson AP (2007) Congenital diverticulum of the bladder mimicking tumour. J Pediatr Urol 3:323–325

    Article  PubMed  Google Scholar 

  14. Shigehara K, Taya T, Hisazumi H (2008) Primary adenocarcinoma in the bladder diverticulum. Scand J Urol Nephrol 42:481–483

    Article  PubMed  Google Scholar 

  15. Kishore TA, Bhat S, John PR (2005) Vesicocutaneous fistula arising from a bladder diverticulum. Indian J Med Sci 59:265–267

    Article  PubMed  CAS  Google Scholar 

  16. Afshar K, Malek R, Bakhshi M, Papanikolaou F, Farhat W, Bagli D, Khoury AE, Pippi-Salle JL (2005) Should the presence of congenital para-ureteral diverticulum affect the management of vesicoureteral reflux? J Urol 174:1590–1593

    Article  PubMed  CAS  Google Scholar 

  17. Shukla AR, Bellah RA, Canning DA, Carr MC, Snyder HM, Zderic SA (2004) Giant bladder diverticula causing bladder outlet obstruction in children. J Urol 172:1977–1979

    Article  PubMed  Google Scholar 

  18. Milović N, Bancević V (2007) Extravesical diverticulectomy—a surgical technique for managing a giant bladder diverticulum. Vojnosanit Pregl 64:349–352

    Article  PubMed  Google Scholar 

  19. Pandey S, Agarwal V, Mishra S, Thakur SK (2009) Bilateral large diverticulae of urinary bladder. Saudi J Kidney Dis Transpl 20:474–475

    PubMed  Google Scholar 

  20. Abdel-Hakim AM, El-Feel A, Abouel-Fettouh H, Saad I (2007) Laparoscopic vesical diverticulectomy. J Endourol 21:85–89

    Article  PubMed  Google Scholar 

  21. Myer EG, Wagner JR (2007) Robotic assisted laparoscopic bladder diverticulectomy. J Urol 178:2406–2410

    Article  PubMed  Google Scholar 

  22. Akbulut S, Cakabay B, Sezgin A, Isen K, Senol A (2009) Giant vesical diverticulum: a rare cause of defecation disturbance. World J Gastroenterol 15:3957–3959

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Digestive Surgery, “A. Gemelli” Hospital, Catholic University, Largo A. Gemelli, 8, 00168, Rome, Italy

    Antonio Pio Tortorelli, Fausto Rosa, Valerio Papa, Sergio Alfieri & Giovanni Battista Doglietto

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  1. Antonio Pio Tortorelli
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  2. Fausto Rosa
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  3. Valerio Papa
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  4. Sergio Alfieri
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  5. Giovanni Battista Doglietto
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Correspondence to Fausto Rosa.

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Tortorelli, A.P., Rosa, F., Papa, V. et al. Giant bladder diverticulum. Updates Surg 63, 63–66 (2011). https://doi.org/10.1007/s13304-010-0042-7

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  • DOI: https://doi.org/10.1007/s13304-010-0042-7

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