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PubMedDate not supplied

[Mechanism of acute urinary retention in patients with giant bladder diverticulum. Report of 4 cases].

Urinary retention due to bladder diverticulum is a rare clinical entity. We report Three males that were subjected to transurethral resection of prostate due benign hyperplasia with urinary retention, after removal of the catheter during postoperative period, requiring a new catheterization, and an adolescent woman with history of urinary infection that presented urinary retention four previous months to her first interview in the service. The later investigation demonstrated in all patients a big bladder diverticulum. The diverticulectomy reestablished the satisfactory bladder emptying in all patients. The origin of the bladder diverticula, the mechanism of the urinary retention without obstruction and its treatment is discussed.

Acute Disease↗
PubMed2001

[Laparoscopic treatment of symptomatic calculous diverticulum of the calyx].

Treatment of urinary stones in a caliceal diverticulum may be indicated when they are symptomatic. Operative techniques for the kidney are continuing to improve. After open surgery and percutaneous surgery, laparoscopy occupies an increasingly important place in the urological therapeutic armamentarium over recent years. The authors report the case of a woman with a stone in an inferior caliceal diverticulum, discovered in the context of acute pyelonephritis, and effectively treated by transperitoneal laparoscopy. The details of the operative technique are described and discussed in relation to the techniques reported in the literature.

Diverticulum↗
PubMedDate not supplied

Bleeding Meckel's diverticulum in an adult.

Bleeding Meckel's diverticulum tends to be a complication of ectopic gastric mucosa. It has been known that the gastric acid and digestive fluid produced from the ectopic gastric mucosa cause peptic ulcer, which leads to bleeding. When the ectopic gastric mucosa is entirely formed by the pyloric gland, however, ulcer formation may result from factors other than gastric acid and digestive fluid. This is a report of an adult case of bleeding Meckel's diverticulum with ectopic gastric mucosa in whom mechanical stimulation was suggested as a cause of the erosion and ulceration, resulting in bleeding.

Adult↗
PubMed2001

[Unusual clinical presentation of bladder diverticulum: a clinical case].

The Authors report a rare case of bladder diverticulum with radiological findings compatible with infiltrating bladder cancer and left ureterohydronephrosis. The definitive diagnosis was possible only after surgical intervention with mass removal and histological examination that resulted compatible with bladder diverticulum producing an inflammatory pseudotumor of the wall.

Aged↗
PubMed1998

[Diagnosis and treatment of periampullary diverticulum].

OBJECTIVE: To provide a better surgical method for periampullary diverticulum, its teraninology and typing, and some experience in its diagnosis. METHOD: In 11 cases of recurrent cholangitis or (and) pancreatitis resulting from periampullary diverticula juxta-ampullary diverticula was observed in 9, intra-ampullary diverticulum in 1, and ampullocele in 1. All patients underwent elective operation including combined diverticulo-sphincteroplasty (7 cases), diverticulectomy with sphincteroplasty (2), diverticulectomy (1), and papilloplasty (1). RESULT: The perioperative and long-term results were excellent. There were no recurrence and morbidity. CONCLUSION: The combined diverticulo-sphincteroplasty is simpl, safe, effective for the treatment of juxta-ampullary diverticula.

Adult↗
PubMedDate not supplied

Massive bleeding from duodenal diverticulum.

Duodenal diverticula are commonly located in the second part of the duodenum and are usually asymptomatic. We report a 45-year-old man with massive bleeding from a duodenal diverticulum located beyond the second part of the duodenum. The diverticulum was excised, and the patient. has remained asymptomatic over the next 12 months.

Diverticulum↗
PubMed2002

Giant diverticulum of the sigmoid colon with perforation. Report of a case.

We present a case of perforated giant diverticulum of the sigmoid colon. This condition is extremely rare and only a few cases have so far been reported in the literature. Our case involved a 55-year old woman. Diagnosis was easy with barium enema and CT scan examination. Laparotomy revealed a giant diverticulum of the sigmoid colon compressing adjacent structures with signs of inflammation. An en bloc resection of the sigmoid colon, ovary and fallopian tube was performed with primary colon-rectal anastomosis. The post-operative course was uneventful.

Diverticulum, Colon↗
PubMed2002

[Meckel phlegmonous diverticulum concurrent with gangrenous inflammation of the vermiform process].

Historical data on the Meckel's diverticulum are presented together with the analysis of the latest published literature data. A case is described of concomitant Meckel's flegmonous diverticulum and gangrenous appendicitis in a child eight years old with the clinical picture outlined at the time of admission into the hospital and surgical and conservative treatments administered.

Appendicitis↗
PubMed1979

[Epigastric congenital diverticulum of the right ventricle. Resection during the neonatal period (author's transl)].

The authors relate a neo-natal case of cardiac diverticulum of the right ventricle, reaching the epigastric area and associated with several connected malformations : partial pericardial agenesis, anterior diaphagmatic breach, diastasis of Musc. recti abdominis, skin aplasia in the epigastric area, and, moreover, dextrocardia with Fallot tetralogy. The diverticulum was successful resected in emergency.

Abnormalities, Multiple↗
PubMed2002

[Aneurysm of the diverticulum of the ductus arteriosus in the adult with left pneumonectomy; report of a case].

A 51-year-old man with dyspnea was admitted to our hospital. Chest computed tomography (CT) scan and aortogram indicated a diagnosis of aneurysm of diverticulum of the ductus arteriosus. Aneurysm of the diverticulum of the ductus arteriosus in the adult is rare. To our knowledge, 34 cases have been reported in the Japanese literature. Operation was performed through standard left postero-lateral thoracotomy. Initially left pneumonectomy was performed because of severe left lung collapse. And subsequently graft replacement of distal aortic arch was performed with hypothermic retrograde cerebral perfusion. The aneurysmal wall directly penetrated into the trachea with occluded orifice by thrombus. The penetrating wall of the trachea was closed by mattress suture with pericardial pledget. And an omental graft was placed. Five weeks after surgery, high fever and pus discharge from the wound of the thoracotomy developed. The debridement of the thoracic cavity was performed, and the cavity was intermittently irrigated with an electrolyzed strong acid solution. The infection successfully subsided gradually and the patient has been well for 9 months after the initial surgery.

Aneurysm↗
PubMedDate not supplied

Gangrene secondary to axial torsion in a patient with Meckel's diverticulum.

This report discusses the case of a 35-year-old woman who was diagnosed with acute abdomen. The laparatomy revealed gangrene of Meckel's diverticulum secondary to its axial torsion. Resection of the diverticulum and primary end-to-end anastomosis were performed. There were no problems during the postoperative period.

Adult↗
PubMedDate not supplied

Acute intestinal obstruction due to solitary jejunal diverticulum.

We report a 26-year-old man who presented with acute intestinal obstruction. Laparotomy revealed a solitary jejunal diverticulum with a meso-diverticular band, through which a loop of bowel had herniated. He underwent wedge resection of the diverticulum and excision of the band.

Acute Disease↗
PubMed2002

Gastrointestinal bleeding in adult patients with Meckel's diverticulum: the role of technetium 99m pertechnetate scan.

Obscure gastrointestinal (GI) bleeding is often challenging for the primary care physician, but with improved diagnostic testing the cause of this blood loss is determined in most patients. However, approximately 5% of the time no underlying cause is found. One common etiology in patients younger than 40 years of age is a Meckel's diverticulum. The technetium 99m pertechnetate scan is the standard test for making this diagnosis. However, the sensitivity of the scan is only 62% in the adult population. In this case report, a patient with profound, hemodynamically significant GI blood loss had multiple negative studies. Subsequently, an abnormal vascular lesion was detected and during exploratory laparotomy, a Meckel's diverticulum was found and removed. Although the technetium pertechnetate scan is falsely negative in a number of cases, there are ways to increase its sensitivity and possibly avoid repeated testing.

Adult↗
PubMed2003

Congenital right ventricular diverticulum in association with disseminated neonatal hemangiomatosis.

The case of a term infant with disseminated neonatal hemangiomatosis and congenital right ventricular diverticulum is reported. Visceral hemangiomas were present in the liver and kidneys and the patient had lower gastrointestinal bleeding that resolved. The right ventricular diverticulum remained clinically silent. The association of right ventricular diverticula and disseminated neonatal hemangiomatosis has not been previously documented in the literature.

Cardiomyopathies↗
PubMedDate not supplied

True epiphrenic diverticulum of esophagus secondary to tubercular adenitis.

Ephiphrenic esophageal diverticulum is rare and usually is a pulsion-type pseudodiverticulum that occurs in association with motility disorders of the esophagus. We report a 35-year-old man with tubercular lymphadenitis causing true traction type of epiphrenic diverticulum. Esophageal diverticulectomy and esophagomyotomy was done; he is doing well on antitubercular drugs.

Adult↗
PubMedDate not supplied

Giant diverticulum of the colon: report of two new cases and review of the literature.

Diverticulosis coli affects more than one in three individuals older than 65 in the Western world. Giant diverticulum of the colon is an extremely rare complication of diverticular disease; only 113 cases, mostly situated in the colon sigmoideum, have been reported in the world literature. Two new cases of giant diverticulum of the colon sigmoideum, with totally different clinical presentation, diagnosis, and management, are reported-one being the cause of chronic anemia and the other presenting as an acute abdomen. Based on a review of the literature, an update on symptomatology, diagnosis, pathogenesis, and therapeutical options of this rare disorder is provided.

Aged↗
PubMed2003

[Total arch replacement for right aortic arch with Kommerell diverticulum and aberrant left subclavian artery].

A 57-year-old man suspected of having angina pectoris underwent coronary angiography and comprehensive examination, which revealed a right-side aortic arch accompanying Kommerell diverticulum and a aberrant left subclavian artery. Esophagography indicated that the esophagus was compressed on its right posterior side and the computed tomography (CT) revealed that the posterior side of the tracheal was compressed, however, the patient experienced no difficulty in breathing, hoarseness of voice or dysphasia. The size of the aortic diverticulum was less than 5 cm and the patient showed no symptom, however, if it was left untreated, there was a risk of rupture in the future. Also the esophagus and tracheal may develop complications due to prolonged compression. Therefore, we decided that the case required surgical operation. Total arch replacement was performed through mediastinotomy and right posterolateral in the 4th intercostal. The postoperative condition was good, and the patient was discharged without any complications.

Aorta, Thoracic↗
PubMed1992

[Disorders of relaxation of the lower esophageal sphincter appearing after resection of a mid-thoracic esophageal pulsion diverticulum].

A pulsion diverticulum of the mid-thoracic oesophagus was resected because of severe dysphagia. A subdiverticular myotomy was associated for the treatment of non-propagated oesophageal contractions, without oesophageal low-sphincter abnormalities. Three months post-operatively, the dysphagia was still present and manometry showed the absence of lower sphincter relaxation after 45 percent of deglutitions; a lower oesophageal sphincter myotomy was performed, resulting in correction of the dysphagia and of the sphincter relaxation abnormalities. The deficit of the inhibitory nervous mechanism, responsible for abnormalities of lower oesophageal sphincter relaxation, was present in the entire intramural oesophageal plexus, but, was not symptomatic at the level of the IOS prior to resection of the diverticulum.

Acute Disease↗