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Revista mexicana de urología
versão On-line ISSN 2007-4085versão impressa ISSN 0185-4542
Resumo
GOMEZ-CONTRERAS, DE; PINZON-URESTI, MA; BARRAGAN-ALBO, F e RODRIGUEZ-BALDERRAMA, I. Congenital bladder diverticulum in a newborn: A case report. Rev. mex. urol. [online]. 2018, vol.78, n.1, pp.40-43. Epub 16-Dez-2021. ISSN 2007-4085. https://doi.org/10.24245/revmexurol.v78i1.1270.
Background:
Congenital bladder diverticulum is a herniation of the bladder mucosa via the muscle fibers of the bladder wall. It is a rare entity and is uncommon in children.
Clinical case:
A newborn female infant presented with vomiting and feeding intolerance within the first hours of extrauterine life. Physical examination revealed a distended abdomen with adequate peristalsis. Upon palpation, the abdomen was tense and there was slight pain, but no visceromegaly or adhesions were found. Thoracoabdominal x-ray identified distended intestinal segments, displaced upwards and to the right. There was also a radio-opaque image in the lower left hemiabdomen. Abdominal ultrasound revealed a saccular defect with well-defined edges that was dependent on the bladder dome, touching the edge of the liver. The defect was suggestive of a bladder diverticulum, which was confirmed through voiding cystourethrography.
Conclusions:
Congenital bladder diverticulum should be considered in the differential diagnosis in pediatric patients. Conservative management as initial treatment, with diverticulectomy and definitive primary repair performed at a later point in time, offer satisfactory results.
Palavras-chave : Congenital; Urinary bladder diverticulum; Bladder mucosa; Congenital bladder diverticula; Vesical repair.