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Giant bladder diverticulum: a rare cause of bladder outlet obstruction in children

William Appeadu-Mensah1, A A J Hesse, Mensah B Yaw

  • 1Department of Surgery, UGMS, Korle-bu, Accra, Ghana. wappmens@gmail.com

African Journal of Paediatric Surgery : AJPS
|March 3, 2012
PubMed

Insights

Giant bladder diverticula are rare causes of bladder outlet obstruction in children. Surgical excision is crucial for treatment and reducing recurrence risk in pediatric patients.

Area of Science:

  • Pediatric Urology
  • Surgical Oncology

Background:

  • Giant bladder diverticula are uncommon causes of bladder outlet obstruction in pediatric patients.
  • This condition has been infrequently documented in medical literature.

Observation:

  • The study presents three pediatric cases of giant bladder diverticula causing bladder outlet obstruction within a one-year period.
  • Micturating cystourethrogram confirmed the diagnosis in all affected children.

Findings:

  • The anatomical relationship between the diverticula and ureters varied significantly.
  • Ureters were observed to either traverse the diverticular wall to enter the bladder directly or open into the diverticulum itself.
  • One patient experienced a recurrence post-excision, which was successfully managed.

Implications:

  • Giant bladder diverticula require prompt diagnosis and management in children.
  • Surgical excision is essential for effective treatment and minimizing the potential for recurrence.
  • Understanding the ureteral relationship is key for surgical planning.

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