An atypical bladder diverticulum presented with recurrent peritonitis: case report

Bladder diverticula develop from congenital detrusor muscle defect and frequently present with urinary tract infection, which occurs as a result of urinary stasis in the diverticula. Different clinical presentations, such as bladder outlet obstruction, cyanosis of the lower extremities, intestinal obstruction, ureteral obstruction (which may occur due to direct diverticular compression), and peritonitis due to spontaneous rupture of the diverticula, were reported previously. Here, we report a case with the diagnosis of bladder diverticulum that caused recurrent generalized peritonitis without perforation and mimicked perforated appendicitis.

Tekrarlayan peritonitle bulgu veren atipik mesane divertikülü: Olgu sunumu

Mesane divertikülleri detrusor kasýnýn doðuþtan zayýflýðýndan kaynaklanýr. Sýklýkla divertikül içindeki üriner staz sunucu geliþen idrar yollarý enfeksiyonu ile kendini gösterir. Mesane çýkým týkanýklýðý, alt ekstremitede siyanoz, intestinal týkanýklýk, üreteral týkanýklýk gibi divertikülün doðrudan basýsý sonucu ve divertikülün kendiliðinden rüptüre sonucu geliþen peritonit gibi farklý klinik tablolara neden olabilmektedir. Bu yazýda, perfore apandisiti taklit eden ve perforasyon olmadan tekrarlayan jeneralize peritonite neden olan mesane divertikülü olan bir olgu sunuldu.