Rupture of urachal diverticulum in radiation cystitis and neurogenic bladder dysfunction after radical hysterectomy.
We experienced a rare case of the rupture of the urachal diverticulum in radiation cystitis and neurogenic bladder after radical hysterectomy. A 61-year-old woman presented with severe lower abdominal pain and urinary retention. Abdominal computed tomography revealed that the urachal remnant contained a large volume of urine that leaked to subcutaneous tissue. We excised the urachal diverticulum and bladder together and created a continent urinary diversion using transverse colon. Nine months after the operation, the patient could manage clean intermittent self-catheterization 6 times a day through her umbilical stoma without any urinary complications.
Department of Urology, Shinshu University School of Medicine, Asahi 3-1-1, Matsumoto 390-8621, Japan. kawakamimasako@hotmail.com
Masako
M
Kawakami
Yasuhiko
Y
Igawa
Hiroo
H
Inoue
Kouji
K
Koizumi
Osamu
O
Nishizawa
D003556:Cystitis / Q000150:complications*; D004240:Diverticulum / Q000209:etiology*; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D008875:Middle Aged; D011832:Radiation Injuries / Q000150:complications*; D012422:Rupture, Spontaneous; D014497:Urachus; D001750:Urinary Bladder, Neurogenic / Q000150:complications*