Hydroureteronephrosis Secondary to Juxta-uretrovesical Junction Bladder Diverticula

Bladder diverticulum is rarely associated to hydroureteronephrosis. We present clinical images of an adult patient with a bladder diverticulum near the ureterovesical junction (UVJ) with secondary obstruction. An 84-year-old man presented with left hydroureteronephrosis and a presumed 25-mm left ure...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2013-09, Vol.82 (3), p.e26-e27
Main Authors: Torricelli, Fabio Cesar Miranda, Chueh, Shih-Chieh Jeff, Shen, Shu-Jane, Levy, David A, Monga, Manoj
Format: Article
Language:English
Subjects:
Aged, 80 and over
Cystoscopy
Diverticulum - complications
Diverticulum - diagnostic imaging
Humans
Hydronephrosis - diagnostic imaging
Hydronephrosis - etiology
Lithotripsy, Laser
Male
Tomography, X-Ray Computed
Urinary Bladder Diseases - complications
Urinary Bladder Diseases - diagnostic imaging
Urinary Calculi - complications
Urinary Calculi - diagnostic imaging
Urinary Calculi - therapy
Urology
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Summary:Bladder diverticulum is rarely associated to hydroureteronephrosis. We present clinical images of an adult patient with a bladder diverticulum near the ureterovesical junction (UVJ) with secondary obstruction. An 84-year-old man presented with left hydroureteronephrosis and a presumed 25-mm left ureteral stone at UVJ on computed tomography. Cystoscopy revealed a stone located in a bladder diverticulum just cephalad and medial to left ureteral orifice; the patient successfully underwent endoscopic laser cystolithotripsy with resolution of his hydronephrosis. Juxta-UVJ bladder diverticula may cause obstruction of the ipsilateral upper urinary tract.
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2013.06.015