Giant bladder diverticulum

Fausto Rosa, Valerio Papa, Sergio Alfieri, Antonio Pio Tortorelli, Giovanni Doglietto

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

We present the case of a 73-year-old man affected by progressive and painful abdominal distension and paresthesia/hypoesthesia at the left leg. US and CT-scan revealed the presence in the left retroperitoneum of a large cystic mass without parietal thickening or enhancement after contrast injection. This mass disappeared after positioning a vesical Foley's catheter and a retrograde cystography confirmed the suspected diagnosis of a large bladder diverticulum due to a severe prostatic hypertrophy; the patient underwent an open diverticulectomy and endoscopic prostatic resection. Bladder diverticula can occasionally appear as complex pelvic masses not obviously connected to the bladder, eventually leading to diagnostic confusion; while small size diverticulum resolves with relief of bladder outlet obstruction, open or laparoscopic diverticulectomy is needed in large size diverticulum if symptomatic, even considering the possible tumor harboring.
Original languageEnglish
Pages (from-to)63-66
Number of pages4
JournalUpdates in Surgery
Volume63
DOIs
Publication statusPublished - 2011

Keywords

  • Aged
  • Diagnosis, Differential
  • Diverticulum
  • Gallbladder Diseases
  • Humans
  • Male
  • Prostatic Hyperplasia
  • Tomography, X-Ray Computed

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