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Hutch bladder diverticulum - unusual cause of adult obstructive uropathy

Pedro Simões de Oliveira, Tiago Ribeiro de Oliveira, David Martinho, Tomé Lopes
  • 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

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.

Keywords

Bladder; Diverticulum; Ureteral obstruction

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Submitted: 2017-04-26 02:41:08
Published: 2017-06-30 00:00:00
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Copyright (c) 2017 Pedro Simoes Oliveira, Tiago Ribeiro Oliveira, David Martinho, Tome Lopes

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