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Congenital bladder diverticulum - a rare adult presentation
S Vaddi1, Vr Pogula1, R Devraj1
1Narayana Medical College & Hospital, Nellore, Andhra Pradesh, India.
Insights
Congenital bladder diverticula, typically seen in children, can rarely manifest in adults with severe urinary symptoms. This case highlights an unusual adult presentation requiring surgical intervention.
Area of Science:
- Urology
- Pediatric Surgery
- Congenital Abnormalities
Background:
- Congenital bladder diverticula are rare anomalies typically diagnosed in childhood.
- They often present with urinary tract infections, hematuria, and abdominal pain.
- These diverticula are usually solitary and associated with a normal bladder wall and no outlet obstruction.
Purpose of the Study:
- To report an unusual case of congenital bladder diverticulum presenting in an adult male.
- To discuss the diagnostic challenges and management of adult-onset bladder diverticula.
Main Methods:
- Case report of an adult male with lower abdominal pain and voiding symptoms.
- Diagnostic workup including imaging to assess bladder and kidney status.
- Surgical management involving nephroureterectomy and diverticulectomy.
Main Results:
- The patient presented with a significantly distended bladder and left hydronephrosis with a non-functioning left kidney.
- Investigations confirmed a large bladder diverticulum.
- Surgical resection of the diverticulum and removal of the affected kidney were performed.
Conclusions:
- Congenital bladder diverticula can present atypically in adulthood with significant urinary symptoms.
- Prompt diagnosis and surgical intervention are crucial for managing complications such as hydronephrosis.
- This case underscores the importance of considering congenital anomalies even in adult patients with urological complaints.
Abstract:
Congenital bladder diverticula usually present during childhood. They are solitary and present with infection, haematuria and abdominal pain. They are associated with a smooth walled bladder without bladder outlet obstruction. An adult male presented with voiding symptoms and lower abdominal pain. On evaluation he had a grossly distended bladder extending from the hypogastrium up to the right hypochondrium. Investigations revealed a large bladder diverticulum and left hydronephrosis with a non-functioning left kidney. Left nephroureterectomy and diverticulectomy were carried out. We report this case because of its unusual adult presentation.
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