Hutch bladder diverticulum - unusual cause of adult obstructive uropathy

Abstract

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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Published
2017-06-30
Info
Issue
Section
Case Reports - Incontinence & Urodynamics
Keywords:
Bladder, Diverticulum, Ureteral obstruction
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  • PDF: 746
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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