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经直肠超声引导下成功行经尿道切除孤立膀胱憩室内复发性肿瘤

Successful Transurethral Resection of Recurrent Tumor in an Isolated Bladder Diverticulum Under Transrectal Ultrasound Guidance.

作者信息

Motoki Yusuke, Sano Takeshi, Taniguchi Hisanori, Yanishi Masaaki, Kinoshita Hidefumi

机构信息

Department of Urology and Andrology Kansai Medical University Hirakata Japan.

出版信息

IJU Case Rep. 2025 Apr 15;8(3):293-296. doi: 10.1002/iju5.70033. eCollection 2025 May.

DOI:10.1002/iju5.70033
PMID:40336747
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12055207/
Abstract

INTRODUCTION

An isolated bladder diverticulum is a condition where the diverticulum is no longer connected to the bladder lumen. Bladder tumors in isolated bladder diverticula are extremely rare, and treatment methods have not yet been established.

CASE PRESENTATION

A 73-year-old man who had undergone transurethral resection of a bladder tumor for a papillary tumor near the left ureteral orifice presented with a recurrent tumor within the bladder diverticulum, prompting repeat transurethral resection of a bladder tumor and fulguration of the diverticulum. Although the diverticulum reduced in size, it lost its connection to the bladder lumen. Follow-up magnetic resonance imaging revealed tumor recurrence within an isolated diverticulum. The tumor was successfully resected via transurethral resection under transrectal ultrasound guidance.

CONCLUSION

Transrectal ultrasound guidance was useful for transurethral treatment of tumors in isolated bladder diverticulum.

摘要

引言

孤立性膀胱憩室是指憩室不再与膀胱腔相连的一种情况。孤立性膀胱憩室内的膀胱肿瘤极为罕见，且治疗方法尚未确立。

病例报告

一名73岁男性因左侧输尿管口附近的乳头状肿瘤接受了经尿道膀胱肿瘤切除术，之后膀胱憩室内出现复发性肿瘤，遂再次行经尿道膀胱肿瘤切除术及憩室电灼术。尽管憩室体积缩小，但它与膀胱腔失去了连接。随访磁共振成像显示孤立性憩室内肿瘤复发。在经直肠超声引导下，通过经尿道切除术成功切除了肿瘤。

结论

经直肠超声引导对孤立性膀胱憩室内肿瘤的经尿道治疗有用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2287/12055207/195a492e21ad/IJU5-8-293-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2287/12055207/9f30e99533a4/IJU5-8-293-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2287/12055207/495af15306d5/IJU5-8-293-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2287/12055207/195a492e21ad/IJU5-8-293-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2287/12055207/9f30e99533a4/IJU5-8-293-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2287/12055207/495af15306d5/IJU5-8-293-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2287/12055207/195a492e21ad/IJU5-8-293-g003.jpg

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本文引用的文献

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Urothelial carcinoma in a urinary bladder diverticulum: A case report and review of the literature.膀胱憩室内尿路上皮癌：一例报告并文献复习
Radiol Case Rep. 2023 Jan 11;18(3):1169-1174. doi: 10.1016/j.radcr.2022.12.020. eCollection 2023 Mar.
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Radical Cystectomy for Intradiverticular Bladder Carcinoma: A Case Report.
经脐单孔腹腔镜前列腺癌根治术 10 例报告
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Endoscopic Management of Bladder Diverticula.膀胱憩室的内镜治疗
Rev Urol. 2016;18(2):114-7. doi: 10.3909/riu0701.
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Diagnosis and management of intradiverticular bladder tumours.腔内型膀胱肿瘤的诊断与治疗。
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