Akbulut S, Cakabay B, Sezgin A, Isen K, Senol A. Giant vesical diverticulum: A rare cause of defecation disturbance. World J Gastroenterol 2009; 15(31): 3957-3959 [PMID: 19701982 DOI: 10.3748/wjg.15.3957]
Corresponding Author of This Article
Sami Akbulut, MD, Department of Surgery, Diyarbakir Education and Research Hospital, Diyarbakir, 21400, Turkey. akbulutsami@gmail.com
Article-Type of This Article
Case Report
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World J Gastroenterol. Aug 21, 2009; 15(31): 3957-3959 Published online Aug 21, 2009. doi: 10.3748/wjg.15.3957
Giant vesical diverticulum: A rare cause of defecation disturbance
Sami Akbulut, Bahri Cakabay, Arsenal Sezgin, Kenan Isen, Ayhan Senol
Sami Akbulut, Bahri Cakabay, Department of Surgery, Diyarbakir Education and Research Hospital, Diyarbakir, 21400, Turkey
Arsenal Sezgin, Department of Pathology, Diyarbakir Education and Research Hospital, Diyarbakir, 21400, Turkey
Kenan Isen, Department of Urology, Diyarbakir Education and Research Hospital, Diyarbakir, 21400, Turkey
Ayhan Senol, Department of Radiology, Diyarbakir Education and Research Hospital, Diyarbakir, 21400, Turkey
Author contributions: Akbulut S, Cakabay B and Isen K performed the surgical procedure; Akbulut S and Cakabay B contributed to writing of the article and review of the literature as well as undertaking a comprehensive literature search; Akbulut S and Sezgin A contributed to the design and manuscript preparation; Sezgin A provided the pathological information; Senol A provided the radiological information.
Correspondence to: Sami Akbulut, MD, Department of Surgery, Diyarbakir Education and Research Hospital, Diyarbakir, 21400, Turkey. akbulutsami@gmail.com
Telephone: +90-412-2285434
Fax: +90-412-2295912
Received: June 22, 2009 Revised: July 18, 2009 Accepted: July 25, 2009 Published online: August 21, 2009
Abstract
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 × 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.
