Radical Cystectomy for Intradiverticular Bladder Carcinoma: A Case Report
Anil Kumar Sah1, Bipin Maharjan1, Mahesh Bahadur Adhikari1
1Department of Urology, Nepal Mediciti Hospital, Bhainsepati, Lalitpur Nepal.
JNMA; Journal of the Nepal Medical Association
|February 24, 2022
Summary
Bladder diverticulum can develop high-grade urothelial carcinoma. This case report details successful management using radical cystectomy and ileal conduit, a crucial procedure for this rare presentation.
Area of Science:
- Urology
- Oncology
Background:
- Bladder diverticulum, herniation of bladder mucosa, occurs in 1.7% of individuals.
- Carcinoma develops in 0.8-10% of bladder diverticula, most commonly transitional cell carcinoma.
Observation:
- Painless hematuria is the most frequent clinical symptom.
- Accurate diagnosis and staging rely on imaging modalities and cystoscopy.
Findings:
- High-grade multifocal urothelial carcinoma within a bladder diverticulum was observed.
- The patient, a 66-year-old male, underwent radical cystectomy and pelvic lymph node dissection with an ileal conduit.
Implications:
- Radical cystectomy with pelvic lymph node dissection and ileal conduit is an effective management strategy for high-grade urothelial carcinoma in bladder diverticulum.
- This case highlights a rare presentation and its successful surgical resolution.
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