Hossain M Z, Hasan G Z, Siddiqui T H
Department of Paediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbagh, Dhaka, Bangladesh.
Mymensingh Med J. 2012 Apr;21(2):360-2.
Congenital bladder diverticula (CBD) are unusual but not rare in childhood. Report of acute urinary retention due to congenital bladder diverticula are rarely found in the literature. Here we report a case of congenital bladder diverticulum with acute urinary retention in a ten months old male infant. Urinary tract infection and urinary retention are the most frequent presentation forms. In this case CBD produce urinary obstruction as a result of compression of the urethra which causes urinary retention. Voiding cystourethrogram revealed a large bladder diverticulum. Bladder diverticulum should be a differential diagnosis in male children, presenting with urinary retention, fever and an abdominal mass. Ultrasonography, voiding cystourethrogram & cystoscopy confirm the diagnosis and diverticulectomy was successfully done for the child.
先天性膀胱憩室(CBD)在儿童中并不常见,但也并非罕见。文献中很少有关于先天性膀胱憩室导致急性尿潴留的报道。在此,我们报告一例10个月大男婴先天性膀胱憩室伴急性尿潴留的病例。尿路感染和尿潴留是最常见的表现形式。在该病例中,CBD由于压迫尿道导致尿路梗阻,进而引起尿潴留。排尿性膀胱尿道造影显示有一个大的膀胱憩室。对于出现尿潴留、发热和腹部肿块的男童,膀胱憩室应作为鉴别诊断之一。超声检查、排尿性膀胱尿道造影和膀胱镜检查可确诊,该患儿成功接受了憩室切除术。