[Subacute intestinal obstruction caused by giant bladder diverticulum].
A case of a patient affected with intestinal obstruction of 4 days of evolution is presented. The diagnosis of giant bladder diverticulum due to Benign Prostatic Hypertrophy was made by abdominal ultrasound at Emergency Room, and afterwards was confirmed by cystography. A trabeculated wall and a diverticulum at the posterior side was seen with the cystography. The diverticulum full of urine couldn't be emptied due to a narrow diverticular neck and the rectum was obstructed. When a urethral catheter was put in, the symptoms of intestinal obstruction disappeared 800 ml of urine were passed through the catheter and the rectum compression was released; the gas was allowed to pass through the bowel and it's seen in plain X-Ray. This case is presented, considering its unusual this way of presentation of a giant bladder diverticulum. We have reviewed the literature en Medline since 1966 and we have not found a similar case.
Ruiz-López
M
M
Servicio de Urología, Hospital General Básico Axarquía, Vélez-Málaga, Málaga.
Hoyos López
M
M
Carnero Bueno
J
J
Urbaneja
E
E
Ruiz
J L
JL
Fuentes Lupiañez
O
O
Romera
A
A
D000208:Acute Disease; D000368:Aged; D004240:Diverticulum / Q000150:complications*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology*; D008297:Male; D001745:Urinary Bladder Diseases / Q000150:complications*