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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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Year : 2002  |  Volume : 7  |  Issue : 1  |  Page : 25-28

Congenital bladder diverticulum presenting as bladder outflow obstruction and obstructive uropathy-report of 6 cases and review of literature.



Correspondence Address:
SK Mitra


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ABSTRACT: In this series (from Jan. 1999 to Dec. 2000), we encountered 6 cases of congental bladder diverticula (including 1 bilateral diverticula) which were not secondary to any neurogenic bladder dysfunction or bladder outflow obstruction. The diverticula had caused varying degree of bladder outflow obstruction, vesicureteral reflux (VUR) and probably ureteral obstruction leading to obstructive uropathy. Out of 6 cases, 5 had bilateral mild to moderate hydrouretoronephrosis, 3 had ipsilateral VUR and 5 showed mild to moderately raised urea and creatinine levels. All cases had plenty of pus cells in the urine with positive culture report. Presenting features in all cases were UTI with urinary retention, dribbling (chronic retention in 5 and acute in 1) and a palpable bladder; 5 cases had symptomatic urinary tract infection. Diagnosis and evaluation was done by voiding cystourethrogram (VCUG), ultrasonography (USG), renal biochemistry and routine urine examination with culture and sensitivity. All the cases were subjected to diverticulectomy and ureteric reimplantation. Postoperatively the patients recovered uneventfully. Follow up USG and VCUG showed resolving hydronephrosis and no VUR.






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  2005 - Journal of Indian Association of Pediatric Surgeons | Published by Wolters Kluwer - Medknow 

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