Giant vesical diverticulum: A rare cause of defecation disturbance

Akbulut S., Cakabay B., Sezgin A., Isen K., Senol A.

WORLD JOURNAL OF GASTROENTEROLOGY, cilt.15, sa.31, ss.3957-3959, 2009 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 15 Sayı: 31
  • Basım Tarihi: 2009
  • Doi Numarası: 10.3748/wjg.15.3957
  • Dergi Adı: WORLD JOURNAL OF GASTROENTEROLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.3957-3959
  • Anahtar Kelimeler: Colonic obstruction, Defecation, Diverticulectomy, Urinary bladder, Vesical diverticulum, EHLERS-DANLOS-SYNDROME, BLADDER DIVERTICULUM, URINARY-BLADDER, OBSTRUCTION
  • İnönü Üniversitesi Adresli: Evet

Özet

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-year-old 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 x 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. (c) 2009 The WJG Press and Baishideng. All rights reserved.