Open AccessGiant vesical diverticulum: A rare cause of defecation disturbance
Author(s) -
Sami Akbulut,
Bahri Çakabay,
Arsenal Sezgın,
Kenan İsen,
Ayhan Şenol
Publication year - 2009
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.15.3957
Subject(s) - diverticulum (mollusc) , medicine , constipation , vomiting , defecation , laparotomy , nausea , abdomen , surgery , rectum , urinary bladder , abdominal pain , abdominal distension
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.