INTERNATIONAL ARCHIVES OF MEDICINE
SECTION: GENERAL SURGERY
ISSN: 1755-7682
1
2015
Vol. 8 No. 106
doi: 10.3823/1705
iMedPub Journals
http://journals.imed.pub
© Under License of Creative Commons Attribution 3.0 License This article is available at: www.intarchmed.com and www.medbrary.com
Abstract
Introduction: Bladder diverticula are rare both in adults and in
children and may be congenital or acquired, are rare in females.
Objective: To describe the case of occasional finding of bladder
diverticulum in women, which developed into sepsis.
Case report: Patient MIB, 81, female was admitted to the Cariri Re-
gional Hospital after a fall from height resulting in trochanteric fracture
of left femur .No fifth day of hospitalization, the patient developed an
abdominal mass in pit right iliac, associated the signs of inflammation
and painful abdomen. Computed tomography of the abdomen with
contrast revealed a cystic collection of air-fluid content and inflam-
matory aspect in the right lower abdomen measuring approximately
212 mL volume with continuity with the bladder.
Discussion: Bladder diverticula are usually asymptomatic, and occa-
sionally found more commonly in men. It is a rare condition in women
and its clinical presentation is associated with infection or neoplasia.
There are reports of peritonitis after spontaneous perforation of the
diverticulum, however, its evolution to sepsis is rare
Conclusion: Bladder diverticulum in women and evolving to sepsis
without drilling is a rare condition, with few reports in the literature.
Bladder Diverticulum and Sepsis
CASE REPORT
George Nilton Nunes Mendes
1,3
, Jessica Cosme da Silva
1
,
Lucas Machado Gomes de Pinho Pessoa
1,3
,
Jully Graziela Coelho Campos Couto
1
,
Hermes Melo Teixeira Batista
2,3
, Marco Antônio Bezerra Rulim
1,3
,
Haroldo Lucena Miranda Filho
3
, Tuíla Guanabara Souza Lucena
3
,
Francisco Aurélio Lucchesi Sandrini
3
,
Woneska Rodrigues Pinheiro
2
, Vitor Engracia Valenti
4
,
Italla Maria Pinheiro Bezerra
2
, Luiz Carlos de Abreu
2
1 Faculty of Medicine Estácio of Juazeiro of
North, Juazeiro do Norte/Ceará.
2 Laboratory Design and Scientific Writting.
Department of Basic Sciences, ABC Faculty of
Medicine, Santo André/São Paulo.
3 Regional Hospital of Cariri, Juazeiro do
Norte/Ceará.l
4 Department os Speech and Hearing
Pathology at FFC-UNESP/Marília, São Paulo.
Contact information:
georgenunesmendes@globo.com
hermesmelo@oi.com.br
Keywords
Bladder diverticula, sepsis, infection.