title: [Subacute intestinal obstruction caused by giant bladder diverticulum].
abstract: 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.
authors.affiliation: Servicio de Urología, Hospital General Básico Axarquía, Vélez-Málaga, Málaga.
authors.forename: M
authors.initials: M
authors.lastname: Ruiz-López
authors.forename: M
authors.initials: M
authors.lastname: Hoyos López
authors.forename: J
authors.initials: J
authors.lastname: Carnero Bueno
authors.forename: E
authors.initials: E
authors.lastname: Urbaneja
authors.forename: J L
authors.initials: JL
authors.lastname: Ruiz
authors.forename: O
authors.initials: O
authors.lastname: Fuentes Lupiañez
authors.forename: A
authors.initials: A
authors.lastname: Romera
mesh_terms: D000208:Acute Disease; D000368:Aged; D004240:Diverticulum / Q000150:complications*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology*; D008297:Male; D001745:Urinary Bladder Diseases / Q000150:complications*