Bladder Diverticulum and Sepsis

Authors

  • Hermes Melo Teixeira Batista Faculdade de Medicina do ABC Hospital Regional do Cariri
  • George Nilton Nunes Mendes Faculty of Medicine Estácio of Juazeiro of North
  • Jessica Cosme da Silva Faculty of Medicine Estácio of Juazeiro of North
  • Lucas Machado Gomes de Pinho Pessoa Regional Hospital of Cariri
  • Jully Graziela Coelho Campos Couto Faculty of Medicine Estácio of Juazeiro of North
  • Marco Antonio Bezerra Rolim Faculty of Medicine Estácio of Juazeiro of North
  • Haroldo Lucena Miranda Filho Faculty of Medicine Estácio of Juazeiro of North
  • Tuila Guanabara Souza Lucena Regional Hospital of Cariri
  • Francisco Aurélio Lucchesi Sandrini Regional Hospital of Cariri
  • Woneska Rodrigues Pinheiro Laboratory Design and Scientific Writing. Department of Basic Sciences, ABC Faculty of Medicine
  • Vitor Engracia Valenti FFC-UNESP
  • Italla Maria Pinheiro Bezerra Laboratory Design and Scientific Writing. Department of Basic Sciences, ABC Faculty of Medicine
  • Luiz Carlos de Abreu Laboratory Design and Scientific Writing. FMABC USP

DOI:

https://doi.org/10.3823/1705

Keywords:

Bladder diverticula, sepsis, infection

Abstract

 

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.

Author Biographies

Hermes Melo Teixeira Batista, Faculdade de Medicina do ABC Hospital Regional do Cariri

HRC

George Nilton Nunes Mendes, Faculty of Medicine Estácio of Juazeiro of North

HRC

Jessica Cosme da Silva, Faculty of Medicine Estácio of Juazeiro of North

HRC

Lucas Machado Gomes de Pinho Pessoa, Regional Hospital of Cariri

HRC

Jully Graziela Coelho Campos Couto, Faculty of Medicine Estácio of Juazeiro of North

HRC

Marco Antonio Bezerra Rolim, Faculty of Medicine Estácio of Juazeiro of North

HRC

Haroldo Lucena Miranda Filho, Faculty of Medicine Estácio of Juazeiro of North

HRC

Tuila Guanabara Souza Lucena, Regional Hospital of Cariri

HRC

Francisco Aurélio Lucchesi Sandrini, Regional Hospital of Cariri

HRC

Woneska Rodrigues Pinheiro, Laboratory Design and Scientific Writing. Department of Basic Sciences, ABC Faculty of Medicine

HRC

Vitor Engracia Valenti, FFC-UNESP

HRC

Italla Maria Pinheiro Bezerra, Laboratory Design and Scientific Writing. Department of Basic Sciences, ABC Faculty of Medicine

HRC

Luiz Carlos de Abreu, Laboratory Design and Scientific Writing. FMABC USP

HRC

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Published

2015-07-07

Issue

Section

General Surgery

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