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[Subacute intestinal obstruction caused by giant bladder diverticulum].
M Ruiz-López1, M Hoyos López, J Carnero Bueno
1Servicio de Urología, Hospital General Básico Axarquía, Vélez-Málaga, Málaga.
Actas Urologicas Espanolas
|April 4, 2000
Summary
A giant bladder diverticulum caused by benign prostatic hypertrophy led to intestinal obstruction. Relieving the obstruction with a urethral catheter resolved symptoms, highlighting an unusual presentation of this condition.
Area of Science:
- Urology
- Gastroenterology
Background:
- Benign prostatic hypertrophy (BPH) commonly affects older men.
- Bladder outlet obstruction can lead to urinary retention and complications.
Observation:
- A 4-day history of intestinal obstruction was observed.
- Abdominal ultrasound and cystography diagnosed a giant bladder diverticulum secondary to BPH.
- A narrow diverticular neck prevented emptying, causing rectal compression.
Findings:
- Urethral catheterization relieved the intestinal obstruction.
- 800 ml of urine was drained, decompressing the rectum.
- Plain X-ray confirmed gas passage, indicating resolution of bowel obstruction.
Implications:
- Giant bladder diverticulum can present atypically with intestinal obstruction.
- Prompt diagnosis and management are crucial for patient outcomes.
- This case represents a rare presentation not found in literature since 1966.