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[Congenital vesical diverticulum in a child]
A Iwasa1, M Honjoh, M Nakamura
1Department of Urology, Osaka University Hospital.
Insights
Congenital bladder diverticulum is rare in children, often presenting with urinary issues like hematuria. Surgical intervention can lead to positive outcomes, as seen in this case and literature review.
Area of Science:
- Pediatric Urology
- Congenital Abnormalities
- Surgical Case Reports
Background:
- Congenital vesical diverticulum is a rare condition in pediatric patients.
- This condition can manifest with various urinary symptoms, including hematuria and dysuria.
- Literature review indicates a predilection for male patients.
Abstract:
A case of congenital vesical diverticulum in childhood is reported and 28 other cases in children from the Japanese literature are reviewed. A 9-year-old boy presented with hematuria and two-phase micturition. Excretory urogram and voiding cystourethrogram showed a diverticulum of the bladder on the left side and left vesico-ureteral reflex. Diverticulectomy and left ureteroneocystostomy (by Paquin's method) were performed. Post-surgical recovery was very good. All 28 cases we reviewed were in males whose average age was 6 years and 2 months. Their chief complaints consisted of dysuria, urinary infection and hematuria. The two-phase micturition appeared to be rather rare.