Paraplejik erkek hastada dev kazanılmış üretral divertikül ve rekürren ürolityazis: Olgu sunumu ve literatürün incelenmesi

Abstract

Üretral divertikül nadir görülen bir patolojik durumdur. Kırk yaşında erkek hasta kliniğimize sol flank ağrı, dizüri, sık idrara çıkma, tıkanma semptomları ve idrarı tam boşaltamama hissi nedeniyle başvurdu. Hastada parapleji ve trafik kazası sonrası gelişen beyin kanaması öyküsü mevcuttu. İntravenöz pyelografide sol staghorn böbrek taşı gözlendi. Hastaya sol perkütan nefrolitotomi operasyonu planlandı. Öncesinde yapılan sistoskopide hastada üretral divertikül olduğu gözlendi. Üretrografide 8 cm çaplı üretral divertikül izlendi. Divertiküle yönelik olarak divertikülektomi ve primer tamir operasyonu planlandı. Tanı ve tedavi yönteminin seçimi özellikle semptomatik divertikül için önemlidir

Keywords

• Kazanılmış,parapleji,staghorn,üretral divertikül,urolitiyazis

Acquired giant urethral diverticulum and recurrent urolithiasis in a male paraplegic patient: a case report and review of literature

Abstract

Urethral diverticulum is a rare pathologic entity. A 40 year-old male patient admitted to our clinic with left flank pain, dysuria, frequency, obstructive symptoms and sensation of incomplete emptying of urine. He was paraplegic and had a history of cerebral hemorrhage arising after an automobile accident. IVU Intravenous urography revealed staghorn left kidney stone. Left percutaneous nephrolitotomy was planned. Prior to cystoscopy, a urehtral diverticulum was diagnosed. Urethrography revealed a diverticulum 8 cm in diameter. Open diverticulectomy and primary repair were performed. Diagnosis and treatment methods are important especially for treating symptomatic urethral diverticula

Keywords

• Acquired,paraplegia,staghorn,urethral diverticulum,urolithiasis

References

1. El Ammari JE, Riyach O, Ahsaini M,et al. Acquired ureth- ral diverticulum in a man with paraplegia presenting with a scrotal mass: a case report. Journal of Medical Case Re- ports 2012;6:392.
2. Billow M, James R, Resnick K, et al. An unusual presentati- on of a urethral diverticulum as a vaginal wall mass: a case report. Journal of Medical Case Reports 2013;7:171.
3. Kkhattala K, Rami M, Elmadi A, et al. Giant urethral diverticulum’s caused by traumatic vesicle catheterization in children: a case report. Pan African Medical Journal 2011;10:15
4. Laborde E, Winters C. Male Urethral Diverticulum After Placement of an Artificial Urinary Sphincter. The Ochsner Journal 2012;12:82-84.
5. Riyach O, Ahsaini M, Tazi MF, et al. Female urethral di- verticulum: cases report and literature. Annals of Surgical Innovation and Research 2014;8:1.
6. Kushwaha R, Goel P, Kureel SN. Giant anterior urethral diverticulum with a calculus masquerading as left inginal hernia: Amissed diagnosis, a lesson to learn. J Indian Assoc Pediatr Surg 2013;18:112-114.
7. Romanzi LJ, Groutz A, Blaivas JG. Urethral diverticulum in women diverse presentations resulting in diagnostic delay and mismanagement. J Urol 2000;164:428-433.
8. Agrawal S, Ansari MSA, Kapoor R, et al. Congenital poste- rior urethral diverticula causing bladder outlet obstruction in a young male. Indian J urol 2008;24:414-415.

9. Chan KW, Chu WH, Law IC. Giant urethral diverticulum calculus presenting as scrotal abscess. Hong Kong Med J 2012;18:66-7.
10. Kadian YS, Rattan KN, Singh M, et al. Congenital Anterior Urethral Diverticulum in Children: A Case Report and Re- view. ISRN Surg 2011;2011:120307.
11. Kawakami T, Arai Y, Okada Y, et al. A case of urethral di- verticulum in a male paraplegic patient. Hinyokika Kiyo 1995;41:887-90.