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Congenital bladder diverticulum causing acute urinary retention in an infant

M Z Hossain1, G Z Hasan, T H Siddiqui

  • 1Department of Paediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbagh, Dhaka, Bangladesh. drzahidps@gmail.com

Mymensingh Medical Journal : MMJ
|May 8, 2012
PubMed

Insights

Congenital bladder diverticula (CBD) can cause acute urinary retention in infants. This case highlights CBD as a critical diagnosis in male children with urinary obstruction symptoms.

Area of Science:

  • Pediatric Urology
  • Congenital Abnormalities

Background:

  • Congenital bladder diverticula (CBD) are uncommon pediatric conditions.
  • Acute urinary retention (AUR) secondary to CBD is rarely documented.

Observation:

  • A 10-month-old male infant presented with acute urinary retention and symptoms suggestive of urinary tract infection.
  • Clinical presentation included fever and an abdominal mass, prompting investigation for urinary obstruction.

Findings:

  • Voiding cystourethrogram (VCUG) identified a large congenital bladder diverticulum compressing the urethra.
  • Diagnostic confirmation was achieved through ultrasonography, VCUG, and cystoscopy.

Implications:

  • Congenital bladder diverticulum should be considered in the differential diagnosis of male infants presenting with urinary retention.
  • Prompt diagnosis and surgical intervention (diverticulectomy) are crucial for managing this condition.

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