Hutch bladder diverticulum - unusual cause of adult obstructive uropathy
Objective: To present a case of a Hutch bladder diverticulum containing the ureteral opening. Material and methods: An 83-year-old man presented a giant bladder diverticulum causing obstructive azotemia due to bilateral ureteral compression. Endoscopy revealed an unusual and potentially harmful anat...
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2017-06-01
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| Series: | Archivio Italiano di Urologia e Andrologia |
| Subjects: | |
| Online Access: | http://www.pagepressjournals.org/index.php/aiua/article/view/6763 |
| _version_ | 1818505613539278848 |
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| author | Pedro Simões de Oliveira Tiago Ribeiro de Oliveira David Martinho Tomé Lopes |
| author_facet | Pedro Simões de Oliveira Tiago Ribeiro de Oliveira David Martinho Tomé Lopes |
| author_sort | Pedro Simões de Oliveira |
| collection | DOAJ |
| description | Objective: To present a case of a Hutch bladder diverticulum containing the ureteral opening. Material and methods: An 83-year-old man presented a giant bladder diverticulum causing obstructive azotemia due to bilateral ureteral compression. Endoscopy revealed an unusual and potentially harmful anatomical alteration: the left ureteral orifice was inside in the diverticulum. Despite bladder emptying, the diverticulum remained full, causing bilateral ureteral compression. The patient underwent diverticulectomy with ureteroneocystostomy. Result: Post-operative follow-up showed renal and voiding functions restoration. Conclusion: Although clinical watching is a valid option in patients with Hutch diverticulum, reconstructive surgical approach, especially when complications are present, should be the standard of care. |
| first_indexed | 2024-12-10T21:53:16Z |
| format | Article |
| id | doaj.art-e4e9af5af1cd45b5a4de7754c77eb802 |
| institution | Directory Open Access Journal |
| issn | 1124-3562 2282-4197 |
| language | English |
| last_indexed | 2024-12-10T21:53:16Z |
| publishDate | 2017-06-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Archivio Italiano di Urologia e Andrologia |
| spelling | doaj.art-e4e9af5af1cd45b5a4de7754c77eb8022022-12-22T01:32:07ZengPAGEPress PublicationsArchivio Italiano di Urologia e Andrologia1124-35622282-41972017-06-0189216216310.4081/aiua.2017.2.1625320Hutch bladder diverticulum - unusual cause of adult obstructive uropathyPedro Simões de Oliveira0Tiago Ribeiro de Oliveira1David Martinho2Tomé Lopes3Hospital de Santa Maria, Urology Department, LisbonHospital de Santa Maria, Urology Department, LisbonHospital de Santa Maria, Urology Department, LisbonHospital de Santa Maria, Urology Department, LisbonObjective: To present a case of a Hutch bladder diverticulum containing the ureteral opening. Material and methods: An 83-year-old man presented a giant bladder diverticulum causing obstructive azotemia due to bilateral ureteral compression. Endoscopy revealed an unusual and potentially harmful anatomical alteration: the left ureteral orifice was inside in the diverticulum. Despite bladder emptying, the diverticulum remained full, causing bilateral ureteral compression. The patient underwent diverticulectomy with ureteroneocystostomy. Result: Post-operative follow-up showed renal and voiding functions restoration. Conclusion: Although clinical watching is a valid option in patients with Hutch diverticulum, reconstructive surgical approach, especially when complications are present, should be the standard of care.http://www.pagepressjournals.org/index.php/aiua/article/view/6763BladderDiverticulumUreteral obstruction |
| spellingShingle | Pedro Simões de Oliveira Tiago Ribeiro de Oliveira David Martinho Tomé Lopes Hutch bladder diverticulum - unusual cause of adult obstructive uropathy Archivio Italiano di Urologia e Andrologia Bladder Diverticulum Ureteral obstruction |
| title | Hutch bladder diverticulum - unusual cause of adult obstructive uropathy |
| title_full | Hutch bladder diverticulum - unusual cause of adult obstructive uropathy |
| title_fullStr | Hutch bladder diverticulum - unusual cause of adult obstructive uropathy |
| title_full_unstemmed | Hutch bladder diverticulum - unusual cause of adult obstructive uropathy |
| title_short | Hutch bladder diverticulum - unusual cause of adult obstructive uropathy |
| title_sort | hutch bladder diverticulum unusual cause of adult obstructive uropathy |
| topic | Bladder Diverticulum Ureteral obstruction |
| url | http://www.pagepressjournals.org/index.php/aiua/article/view/6763 |
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