Giant vesical diverticulum: a rare cause of defecation disturbance.
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.
Akbulut
Sami
S
Department of Surgery, Diyarbakir Education and Research Hospital, Diyarbakir, 21400, Turkey. akbulutsami@gmail.com
Cakabay
Bahri
B
Sezgin
Arsenal
A
Isen
Kenan
K
Senol
Ayhan
A
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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