Baarimah Alhareth, Alsayed Abdullah, Yamani Ahmed, Aldawsari Mohamed, Soliman Shady
Department of Urology, International Medical Center (IMC), Jeddah, Saudi Arabia.
Department of Urology, Al Hada Armed Forces Hospital, Al Taif, Saudi Arabia.
Urol Case Rep. 2021 Apr 20;38:101683. doi: 10.1016/j.eucr.2021.101683. eCollection 2021 Sep.
Bladder outlet obstruction in younger men is usually secondary to urethral stricture disease. In the elderly, it is often a due to benign prostatic hyperplasia (BPH). Bladder obstruction secondary to Brunn's Cyst should be considered as a differential diagnosis in young men with acute onset of obstructive symptoms and a cystic lesion at the bladder neck. We report a case of bladder outlet obstruction secondary to Brunn's cyst in a 21-year-old male. Radiological investigations, cystoscopy, and histological examination revealed the rare pathology, which was managed by endoscopic de-roofing of the cyst. The symptoms resolved dramatically, with no recurrence.
年轻男性的膀胱出口梗阻通常继发于尿道狭窄疾病。在老年人中，往往是由于良性前列腺增生（BPH）。对于有急性梗阻症状且膀胱颈部有囊性病变的年轻男性，应考虑将布伦囊肿继发的膀胱梗阻作为鉴别诊断。我们报告一例21岁男性布伦囊肿继发膀胱出口梗阻的病例。影像学检查、膀胱镜检查和组织学检查揭示了这种罕见的病理情况，通过内镜下囊肿去顶术进行治疗。症状显著缓解，无复发。
