A Case of Congenital Bladder Diverticulum in Children With Removal of the Mucous Membrane and Suturing of the Muscular Layer of the CBD

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  • Horiike Masaki
    Division of Pediatric Surgery, Osaka City University Graduate School of Medicine Division of Pediatric Surgery, Yodogawa Christian Hospital
  • Harumoto Ken
    Division of Pediatric Surgery, Yodogawa Christian Hospital
  • Yamamoto Miki
    Division of Pediatric Surgery, Yodogawa Christian Hospital
  • Takamatsu Yuko
    Division of Pediatric Surgery, Yodogawa Christian Hospital

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Other Title
  • 尿閉を来した先天性膀胱憩室に対して憩室縫縮術を行った1幼児例
  • 症例報告 尿閉を来した先天性膀胱憩室に対して憩室縫縮術を行った1幼児例
  • ショウレイ ホウコク ニョウヘイ オ キタシタ センテンセイ ボウコウ ケイシツ ニ タイシテ ケイシツヌイチジミジュツ オ オコナッタ 1 ヨウジレイ

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Abstract

<p>Congenital bladder diverticulum (CBD) is a rare disease entity found in children, which can be treated surgically. In contrast, the type of CBD that occurs from the bladder neck is known to pose risks of surgical complications involving ureteral injury or bladder nerve damage. An infant was admitted to our hospital with a huge CBD occurring from the bladder neck. Laparoscopic examination revealed that the left ureter ran across the diverticular wall, and excision of the diverticulum may be associated with the previously mentioned risks. Thus, after the removal of the mucous membrane, we sutured the muscular layer of the CBD and performed ureterocystostomy to avoid the risk of vesicoureteral reflux. The infant was found to be doing well, and cystography confirmed the disappearance of the CBD and good elasticity of the bladder. No wall thickening was observed after the suturing of the muscular layer of the CBD. We conclude that this operative technique is useful for the management of such cases.</p>

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