Ajwani Vikky Ramesh, Bharaney Rajesh P, Singh Vijoy, Mehta Jayshree P, Babu Abdulla Askar, Joshi Prarthan
Sumandeep Vidyapeeth, S.B.K.S.M.I.R.C, Vadodara, Gujarat India.
Indian J Surg. 2013 Aug;75(4):327-8. doi: 10.1007/s12262-012-0465-0. Epub 2012 May 1.
A case of multiple large urinary bladder diverticulae, with narrow neck, presented with features of severe urinary tract infection, with increased frequency of micturition, not treated since a long time. The muscular dehiscence that is at the origin of a diverticulum may be either congenital or degenerative. Two important complications of the diverticulum-that are sometimes interwoven-may occur: a draining defect and the development of an urothelial tumour in the diverticulum cavity. For such complicated diverticula, surgery is indicated. Results may be excellent, provided the surgical intervention focuses at the same time on the management of the associated subvesical obstacle in case of an acquired diverticulum.
一例多发性大膀胱憩室患者，颈部狭窄，表现为严重尿路感染的特征，尿频，长期未治疗。憩室起源处的肌肉裂开可能是先天性的或退行性的。憩室可能会出现两种重要的并发症（有时相互交织）：引流缺陷和憩室内尿路上皮肿瘤的发生。对于此类复杂憩室，建议进行手术。如果手术干预同时针对后天性憩室相关的膀胱下梗阻进行处理，结果可能会非常好。
