Takaba H, Okamura K, Tanaka J, Kato K, Kinjo T, Shimoji T
Department of Urology, Meitelsu Hospital.
Hinyokika Kiyo. 1987 Nov;33(11):1894-8.
We experienced a case of giant vesical diverticulum with a malignant neoplasm in which the preoperative diagnosis was difficult. It simultaneously occurred with a vesical tumor. The patient, a 68-year-old man, visited our hospital complaining of pollakisuria, nycturia and microscopic hematuria. He had urinary retention and his vesical urine volume was 1,450 ml. X-ray examination and ultrasound examination revealed a giant vesical diverticulum and moderate hypertrophy of the prostate. A vesical tumor was suspected. Cystometrogram revealed a flaccid pattern with vesical capacity over 900 ml. Diverticulectomy and resection for a vesical tumor were performed. A malignant neoplasm in the vesical diverticulum was found during the operation. Transurethral resection of the prostate was performed after two months. There has been no evidence of recurrence for 3 years postoperatively.
我们遇到了一例巨大膀胱憩室合并恶性肿瘤的病例，术前诊断困难。它与膀胱肿瘤同时发生。患者为一名68岁男性，因尿频、夜尿和镜下血尿前来我院就诊。他有尿潴留，膀胱尿量为1450毫升。X线检查和超声检查显示巨大膀胱憩室和前列腺中度肥大。怀疑有膀胱肿瘤。膀胱测压图显示为松弛型，膀胱容量超过900毫升。进行了膀胱憩室切除术和膀胱肿瘤切除术。术中发现膀胱憩室内有恶性肿瘤。两个月后进行了经尿道前列腺切除术。术后3年无复发迹象。
