Cardoso Vasco S, Sousa Marta, Campos Costa Filipa, Pinto Gonçalves Paulo, Guerreiro José M
General Surgery, Hospital de São Francisco Xavier, Lisbon, PRT.
General Surgery, Hospital das Forças Armadas, Lisbon, PRT.
Cureus. 2023 Jul 28;15(7):e42622. doi: 10.7759/cureus.42622. eCollection 2023 Jul.
A bladder diverticulum (BD) is an abnormal pouch protruding from the bladder wall, which can be congenital or acquired. Acquired diverticula are more common, usually secondary to outflow obstruction or neurogenic bladder. Spontaneous rupture of a BD is rare, particularly in women. This report is about a female patient who develops abdominal pain and dysuria, progressing to an acute abdomen. The diagnosis of spontaneous rupture of a BD was suspected in pelvic ultrasound and confirmed in computed tomography (CT) cystography. The patient was submitted to diverticulectomy and bladder wall reconstruction. Although rare, this entity should be considered in patients with acute abdomen with unclear etiology, even in women with no evident risk factors for a BD or its rupture.
膀胱憩室（BD）是从膀胱壁突出的异常囊袋，可分为先天性或后天性。后天性憩室更为常见，通常继发于流出道梗阻或神经源性膀胱。膀胱憩室自发破裂很少见，尤其是在女性中。本报告讲述的是一名女性患者，她起初出现腹痛和排尿困难，随后发展为急腹症。盆腔超声怀疑膀胱憩室自发破裂，计算机断层扫描（CT）膀胱造影证实了这一诊断。该患者接受了憩室切除术和膀胱壁重建术。尽管这种情况罕见，但对于病因不明的急腹症患者，即使是没有明显膀胱憩室或其破裂危险因素的女性，也应考虑到这种可能性。
