title: Giant vesical diverticulum: a rare cause of defecation disturbance.
abstract: 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.
authors.affiliation: Department of Surgery, Diyarbakir Education and Research Hospital, Diyarbakir, 21400, Turkey. akbulutsami@gmail.com
authors.forename: Sami
authors.initials: S
authors.lastname: Akbulut
authors.forename: Bahri
authors.initials: B
authors.lastname: Cakabay
authors.forename: Arsenal
authors.initials: A
authors.lastname: Sezgin
authors.forename: Kenan
authors.initials: K
authors.lastname: Isen
authors.forename: Ayhan
authors.initials: A
authors.lastname: Senol
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D003248:Constipation / Q000209:etiology*; D003672:Defecation; D004240:Diverticulum / Q000150:complications* / Q000209:etiology / Q000473:pathology*; D005260:Female; D006801:Humans; D007223:Infant; D007415:Intestinal Obstruction / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D001743:Urinary Bladder / Q000293:injuries / Q000473:pathology*; D001748:Urinary Bladder Neck Obstruction / Q000150:complications
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