Multiple Bladder Diverticula Presenting in an 82-Year-Old Congolese Male
Bladder diverticulum is a congenital malformation characterized by the outpouching of the bladder following an obstruction of urine flux. We present a case of 82-year-old Congolese male patient presented at our facility with a poor urinary stream and lower abdominal pain. A distended abdomen was fou...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2022/9295861 |
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| author | Jean de Dieu Tumusifu Manegabe Daniel Safari Nteranya Ghislain Maheshe Balemba Fabrice Cikomola Gulimwentuga Paul Budema Munguakonkwa Paterne Safari Mudekereza Bijou Safi Matabaro Alliance Wani Bisimwa Franck Masumbuko Mukamba Georges Kuyigwa Toha Kizito Mutuga Centwali Costa Sudi Musilimu Zénon Kuyigwa Alain Kabakuli Namugusha Wani Mulumekandi Rugarabura Léon-Emmanuel Mubenga Mukengeshai |
| author_facet | Jean de Dieu Tumusifu Manegabe Daniel Safari Nteranya Ghislain Maheshe Balemba Fabrice Cikomola Gulimwentuga Paul Budema Munguakonkwa Paterne Safari Mudekereza Bijou Safi Matabaro Alliance Wani Bisimwa Franck Masumbuko Mukamba Georges Kuyigwa Toha Kizito Mutuga Centwali Costa Sudi Musilimu Zénon Kuyigwa Alain Kabakuli Namugusha Wani Mulumekandi Rugarabura Léon-Emmanuel Mubenga Mukengeshai |
| author_sort | Jean de Dieu Tumusifu Manegabe |
| collection | DOAJ |
| description | Bladder diverticulum is a congenital malformation characterized by the outpouching of the bladder following an obstruction of urine flux. We present a case of 82-year-old Congolese male patient presented at our facility with a poor urinary stream and lower abdominal pain. A distended abdomen was found on physical examination while the external genitalia were normal. All blood laboratory values were found to be within normal ranges. The patient’s urine analysis revealed an uncountable number of white blood cells. Ultrasonography revealed multiple diverticula in the right posterolateral and posterior wall. An ultrasound of the abdomen revealed numerous bladder diverticula in the bladder’s left posterolateral and posterior aspects, mild right-sided hydronephrosis, and severe left hydronephrosis with a thinned-out cortex. Both ureters were normal. A computed tomographic (CT) scan of the abdomen confirmed the diagnosis. The patient underwent an open laparotomy which allowed complete ablation of the diverticula followed by bladder wall repair. A one-week course of antibiotics was prescribed, and the patient was discharged fully recovered with no immediate complications. Although bladder diverticula are a congenital malformation, the presence of multiple diverticula suggests that the condition is acquired. In elderly patients, open laparotomy combined with intravenous antibiotics yields positive results. |
| format | Article |
| id | doaj-art-d63da756f844443381a577ffd5d17745 |
| institution | OA Journals |
| issn | 2090-6919 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-d63da756f844443381a577ffd5d177452025-08-20T02:19:38ZengWileyCase Reports in Surgery2090-69192022-01-01202210.1155/2022/9295861Multiple Bladder Diverticula Presenting in an 82-Year-Old Congolese MaleJean de Dieu Tumusifu Manegabe0Daniel Safari Nteranya1Ghislain Maheshe Balemba2Fabrice Cikomola Gulimwentuga3Paul Budema Munguakonkwa4Paterne Safari Mudekereza5Bijou Safi Matabaro6Alliance Wani Bisimwa7Franck Masumbuko Mukamba8Georges Kuyigwa Toha9Kizito Mutuga Centwali10Costa Sudi Musilimu11Zénon Kuyigwa12Alain Kabakuli Namugusha13Wani Mulumekandi Rugarabura14Léon-Emmanuel Mubenga Mukengeshai15Faculty of MedicineSurgery DepartmentFaculty of MedicineFaculty of MedicineFaculty of MedicineFaculty of MedicineFaculty of MedicineFaculty of MedicineFaculty of MedicineFaculty of MedicineFaculty of MedicineFaculty of MedicineSurgery DepartmentFaculty of MedicineFaculty of MedicineFaculty of MedicineBladder diverticulum is a congenital malformation characterized by the outpouching of the bladder following an obstruction of urine flux. We present a case of 82-year-old Congolese male patient presented at our facility with a poor urinary stream and lower abdominal pain. A distended abdomen was found on physical examination while the external genitalia were normal. All blood laboratory values were found to be within normal ranges. The patient’s urine analysis revealed an uncountable number of white blood cells. Ultrasonography revealed multiple diverticula in the right posterolateral and posterior wall. An ultrasound of the abdomen revealed numerous bladder diverticula in the bladder’s left posterolateral and posterior aspects, mild right-sided hydronephrosis, and severe left hydronephrosis with a thinned-out cortex. Both ureters were normal. A computed tomographic (CT) scan of the abdomen confirmed the diagnosis. The patient underwent an open laparotomy which allowed complete ablation of the diverticula followed by bladder wall repair. A one-week course of antibiotics was prescribed, and the patient was discharged fully recovered with no immediate complications. Although bladder diverticula are a congenital malformation, the presence of multiple diverticula suggests that the condition is acquired. In elderly patients, open laparotomy combined with intravenous antibiotics yields positive results.http://dx.doi.org/10.1155/2022/9295861 |
| spellingShingle | Jean de Dieu Tumusifu Manegabe Daniel Safari Nteranya Ghislain Maheshe Balemba Fabrice Cikomola Gulimwentuga Paul Budema Munguakonkwa Paterne Safari Mudekereza Bijou Safi Matabaro Alliance Wani Bisimwa Franck Masumbuko Mukamba Georges Kuyigwa Toha Kizito Mutuga Centwali Costa Sudi Musilimu Zénon Kuyigwa Alain Kabakuli Namugusha Wani Mulumekandi Rugarabura Léon-Emmanuel Mubenga Mukengeshai Multiple Bladder Diverticula Presenting in an 82-Year-Old Congolese Male Case Reports in Surgery |
| title | Multiple Bladder Diverticula Presenting in an 82-Year-Old Congolese Male |
| title_full | Multiple Bladder Diverticula Presenting in an 82-Year-Old Congolese Male |
| title_fullStr | Multiple Bladder Diverticula Presenting in an 82-Year-Old Congolese Male |
| title_full_unstemmed | Multiple Bladder Diverticula Presenting in an 82-Year-Old Congolese Male |
| title_short | Multiple Bladder Diverticula Presenting in an 82-Year-Old Congolese Male |
| title_sort | multiple bladder diverticula presenting in an 82 year old congolese male |
| url | http://dx.doi.org/10.1155/2022/9295861 |
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