| Autor: |
Jose Luis, Palmero Martí, Miguel, Ramirez Backhaus, Ariana, Alvarez Barrera, Araceli, Amoros Torres, Antonio, Benedicto Redon |
| Rok vydání: |
2012 |
| Předmět: |
|
| Zdroj: |
Archivos espanoles de urologia. 65(6) |
| ISSN: |
1576-8260 |
| Popis: |
We present the case of an adult patient diagnosed with Hutch diverticula after examination. Indications were of a type of congenital bladder diverticula very rare in children and unusual in adults, as very few cases in adults are addressed in the literature.Intravenous Urography and Voiding Cystourethrogram (VCUG) were realizedThe intravenous urography revealed ureterohydronephrosis in the excretory phase that did not have repletion defects suggesting lithiasis at distal urethra. On the other hand, a narrowing of the urethra was observed at the point of bladder entry due to the presence of a juxtameatal bladder diverticulum. Next a retrograde cystography was performed which ruled out vesicourethral reflux and revealed that the diverticulum presented elevated residuals after urination. As a result of our patient's clinical characteristics and the absence of vesico-urethral reflux, we decided to perform an endoscopic surgical opening of the diverticula's neck. CONCLUSIONS Hutch paraurethral diverticula is an very uncommon entity, even in infancy. The Voiding Cystourethrogram (VCUG) is especially useful in diagnosing these patients. In symptomatic cases surgical correction of the diverticula is required. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
|
