Bladder Diverticulum and Sepsis
Keywords:Bladder diverticula, sepsis, infection
Introduction: Bladder diverticula are rare both in adults and in children and may be congenital or acquired, are rare in females. Objective: To describe the case of occasional finding of bladder diverticulum in women, which developed into sepsis. Case report: Patient MIB, 81, female was admitted to the Cariri Regional Hospital after a fall from height resulting in trochanteric fracture of left femur .No fifth day of hospitalization, the patient developed an abdominal mass in pit right iliac, associated the signs of inflammation and painful abdomen. Computed tomography of the abdomen with contrast revealed a cystic collection of air-fluid content and inflammatory aspect in the right lower abdomen measuring approximately 212 mL volume with continuity with the bladder. Discussion: bladder diverticula are usually asymptomatic, and occasionally found more commonly in men. It is a rare condition in women and its clinical presentation is associated with infection or neoplasia. There are reports of peritonitis after spontaneous perforation of the diverticulum, however, its evolution to sepsis is rare. Conclusion: bladder diverticulum in women and evolving to sepsis without drilling is a rare condition, with few reports in the literature.
Silberman M, Jeanmonod R. Bladder Diverticulitis: A Case Report. Case Rep Emerg Med. 2011 Sep; 2011.
Gerridzen R, Futter N. Ten-year review of vesical diverticula. Urology. 1982 Jul; 20(1): p. 33-5.
Alexander R, Kum J, Idrees M. Bladder diverticulum: clinicopathologic spectrum in pediatric patients. Pediatr Dev Pathol. 2012 Jul-Aug; 15(4): p. 281-5.
GrubiÅ¡iÄ‡ I, LeniÄek T, Tomas D, DÅ¾ombeta T, Trnski D, TomaÅ¡koviÄ‡ I, et al. Primary osteosarcoma of bladder diverticulum mimicking intradiverticular calculus: a case report. Diagn Pathol. 2011 Apr; 6: p. 37.
Shakeri S RAYMKE. The incidence of diverticula of urinary bladder in patients with benign prostatic hypertrophy and the comparison between cystoscopy and cystography in detecting bladder diverticula. Iran Red Crescent Med J. 2007 Jan; 9(1): p. 36-41.
Burdan F, StarosÅ‚awska E, Mocarska A, Cendrowska-Pinkosz M, Caban M, Zelazowska-CieÅ›liÅ„ska I, et al. Urinary bladder diverticulum as an unusual content of the inguinal canal. Folia Morphol (Warsz). 2014 Nov; 73(4): p. 500-3.
Soundarajan R, Singh H, Arora S, Nayak B, Shamin SA, kumar R. Forced diureses (18)F-Flurodeoxyglucose positron emission tomography/contrast enhanced in detection of carcinoma urinary bladder diverticulum. Indian J. Nucl. Med. 2015; 30(1):86-8
Pieretti RV, Pieretti-Vanmarcke RV. Congenital bladder diverticula in children. J Pediatr Surg 1999; 34: 468 â€“ 73.
Temiz A, AkÃ§ora B, Atik E. An atypical bladder diverticulum presented with recurrent peritonitis: case report. Turkish Journal of Trauma & Emergency Surgery 2011; 17(4) 365 â€“ 7.
Kumar S, Jayant K, Barapatra Y, Rani J, Agrawal S. Giant urinary bladder diverticula presenting as epigastric mass and dyspesia. Nephrourol Mon. 2014; 6(4)
Prakash T, Rajini AK, Bhardwaj V, Jayanthi P, Kalayani R, Singh G. Urinary bladder diverticulum and its association with malignancy: ans anatomical study in cadavers. Romanian Journal of Morphology and Embriology. 2010; 51(3) 543-45
Melekos MD, Asbach HW, Barbalias GA. Vesical diverticula: etiology, diagnosis, tumorogenesis and treatment. Analisys of 74 cases. Urology. 1984; 30(5) 453-457
Hsu HL, Huang KH, Chang CC, Liu KL. Which one is true bladder? â€“ A giant urinary bladder diverticulum. 2011; 104(2) 169-70
Davidiuk AJ, Meschia C, Young PR, Thiel DD. Robotic-assisted Bladder Diverticulectomy: Assessment of Outcomes and Modifications of Technique. Urology DOI:10.1016/j.urology.2015.02.012.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under aÂ Creative Commons Attribution LicenseÂ that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (SeeÂ The Effect of Open AccessÂ and Benefits of Publishing Open Access).