Case Reports - Incontinence & Urodynamics
Vol. 89 No. 2 (2017)
https://doi.org/10.4081/aiua.2017.2.162

Hutch bladder diverticulum - unusual cause of adult obstructive uropathy

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Received: 26 April 2017
Published: 30 June 2017
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Bladder, Diverticulum, Ureteral obstruction
Urology

Authors

Pedro Simões de Oliveira
pedrosimoesdeoliveira@gmail.com
http://orcid.org/0000-0002-1048-5721 (unauthenticated)
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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Hutch bladder diverticulum - unusual cause of adult obstructive uropathy. (2017). Archivio Italiano Di Urologia E Andrologia, 89(2), 162-163. https://doi.org/10.4081/aiua.2017.2.162

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