https://doi.org/10.4081/aiua.2017.2.162

Hutch bladder diverticulum - unusual cause of adult obstructive uropathy

Vol. 89 No. 2 (2017)
Submitted: April 26, 2017
Accepted: April 26, 2017
Published: June 30, 2017
Bladder, Diverticulum, Ureteral obstruction
Abstract Views: 1315
PDF: 990
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Authors

Pedro Simões de Oliveira
pedrosimoesdeoliveira@gmail.com
http://orcid.org/0000-0002-1048-5721
Hospital de Santa Maria, Urology Department, Lisbon, Portugal.
Tiago Ribeiro de Oliveira
Hospital de Santa Maria, Urology Department, Lisbon, Portugal.
David Martinho
Hospital de Santa Maria, Urology Department, Lisbon, Portugal.
Tomé Lopes
Hospital de Santa Maria, Urology Department, Lisbon, Portugal.
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.

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How to Cite

de Oliveira, P. S., de Oliveira, T. R., Martinho, D., & Lopes, T. (2017). Hutch bladder diverticulum - unusual cause of adult obstructive uropathy. Archivio Italiano Di Urologia E Andrologia, 89(2), 162–163. https://doi.org/10.4081/aiua.2017.2.162

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