Bladder wall abscess following surgical treatment of complicated diverticulitis: A case report

Narjes Sweis , John Smith , Patrick Bladek , Steven Garzon , Omer Acar , Gerald Gantt
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Abstract

Bladder wall abscesses, though rare, pose significant diagnostic challenges due to their nonspecific presentation. This case presents a 47-year-old male with a history of complicated diverticulitis, who developed a bladder wall abscess following treatment for a colocutaneous fistula. Initial imaging showed bladder wall thickening, and the patient later presented with recurrent lower urinary tract symptoms and a fluid collection at the bladder dome. Despite negative urine cultures, antibiotic therapy, and no evidence of a colovesical fistula, the abscess recurred. The patient underwent cystoscopy and transurethral resection of the abscess. This minimally invasive approach was effective, and the patient had a full recovery with no further recurrence. This case emphasizes the need for timely evaluation and a broad differential diagnosis in patients with a history of diverticulitis and persistent bladder symptoms. It also adds valuable insights to the limited knowledge on managing rare bladder wall abscesses.
复杂性憩室炎手术后膀胱壁脓肿1例
膀胱壁脓肿虽然罕见,但由于其非特异性表现,对诊断提出了重大挑战。这个病例是一个47岁的男性,有复杂的憩室炎病史,他在治疗结肠皮瘘后出现膀胱壁脓肿。最初的影像显示膀胱壁增厚,患者后来出现反复的下尿路症状和膀胱穹部积液。尽管尿培养阴性,抗生素治疗,没有膀胱瘘的证据,脓肿复发。病人接受膀胱镜检查及经尿道脓肿切除术。这种微创方法是有效的,患者完全恢复,没有进一步复发。本病例强调有憩室炎病史和持续性膀胱症状的患者需要及时评估和广泛的鉴别诊断。它也增加了宝贵的见解,以管理罕见的膀胱壁脓肿的有限知识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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