Divertículo vesical congénito gigante / Giant congenital vesical diverticulum

Los divertículos vesicales congénitos son infrecuentes. En el adulto generalmente se detectan asociados a factores obstructivos a la salida vesical, y se manifiestan por sepsis urinaria recurrente en la mayoría de los casos. Se presenta un paciente del sexo masculino de 67 años de edad, que asistió a consulta por infecciones urinarias bajas a repetición. Al examen físico se constató la presencia de un tumor ovoide de unos 10 cm de diámetro, móvil, no doloroso y con matidez a la percusión, en proyección del hipogastrio y lateralizado hacia la izquierda; la próstata al tacto rectal era de tamaño normal y de consistencia fibroelástica. En el ultrasonido, la uretrocistografía y la tomografía axial computadorizada, se evidenció un divertículo vesical gigante, con su cuello hacia la pared lateral izquierda de la vejiga. Se confirmó mediante la cistoscopia y se procedió a su exéresis por cirugía convencional. El informe histopatológico reveló la existencia de las capas mucosa, muscular y adventicia en su pared, de manera que se corroboró su origen congénito. La evolución del paciente resultó satisfactoria. La exéresis total de los divertículos vesicales congénitos de gran tamaño, constituye la solución definitiva para aquellos pacientes que presentan sepsis urinaria recurrente, en ausencia de factores obstructivos al vaciamiento vesical

Congenital vesical diverticula are infrequent. In adult persons generally are detected in association with obstructive factors for vesical outlet with a recurrent urinary sepsis as manifestation in most cases. This is the case of a male patient aged 67 seen in consultation due to repeated low urinary infections. In physical examination was confirmed the presence of a 10 cm ovoid, mobile and no-painful tumor and with a dull sound to percussion in hypogastrium projection and lateralized to left; at rectal tactus it was of normal size and with a fibroelastic consistency. Ultrasound, urethrocystography and computerized axial tomography evidenced a giant vesical diverticulum with its neck to left lateral wall of bladder confirmed by cystoscopy and exeresis by conventional surgery. Histopathological report showed the presence of mucous and muscular layers, and adventitia in its wall, thus confirming its congenital origin. Patient's course was satisfactory. Total exeresis of big congenital vesical diverticula is the definite solution for those patients presenting with recurrent urinary sepsis in the absence of obstructive factors to vesical voiding

Primary Neoplasm in a Vesical Diverticulum: A Case Report / 대한비뇨기과학회지

Primary neoplasms arising in vesical diverticula are rare and present special problems in diagnosis and treatment. We report a case of primary carcinoma arising in vesical diverticula with associated benign prostatic hypertrophy.

A Case of the Congenital Vesical Diverticulum in Infant / 대한비뇨기과학회지

A vesical diverticulum is an abnormal pouch or sac lined with vesical mucosa protruding through the bladder wall. Most vesical diverticula are seen in elderly men in association with bladder outlet obstruction. Occasionally in children, primary or congenital vesical diverticulum is developed with no underlying disease, which produce many urologic problems. Herein we recently experienced one case of the congenital vesical diverticulum in 8-day-old male infant with hydronephrosis and dysuria.