Radical Cystectomy for Intradiverticular Bladder Carcinoma: A Case Report

Authors

  • Anil Kumar Sah Department of Urology, Nepal Mediciti Hospital, Bhainsepati, Lalitpur, Nepal
  • Bipin Maharjan Department of Urology, Nepal Mediciti Hospital, Bhainsepati, Lalitpur Nepal
  • Mahesh Bahadur Adhikari Department of Urology, Nepal Mediciti Hospital, Bhainsepati, Lalitpur, Nepal
  • Reena Rana Department of Pathology, Nepal Mediciti Hospital, Bhainsepati, Lalitpur, Nepal
  • Sunila Basnet Department of Pathology, Mediciti Hospital, Bhainsepati, Lalitpur, Nepal
  • Rajesh Panta Department of Pathology, Mediciti Hospital, Bhainsepati, Lalitpur, Nepal
  • Gopi Aryal Department of Pathology, Mediciti Hospital, Bhainsepati, Lalitpur, Nepal

DOI:

https://doi.org/10.31729/jnma.6228

Keywords:

bladder, diverticulum, radical, cystectomy, urothelial carcinoma

Abstract

Herniation of bladder mucosa through the bladder wall muscle layer is known as bladder diverticulum. The incidence of bladder diverticulum is 1.7. About 0.8 to 10% of the urinary bladder diverticulum develops carcinoma. Transitional cell carcinoma is the most common. Painless hematuria is the most common clinical presentation. Different imaging modalities along with cystoscopy are the key to accurate diagnosis and staging. High grade multifocal urothelial carcinoma in the bladder diverticulum is better managed by radical cystectomy and standard pelvic lymph node dissection with an ileal conduit. Here we report a case of a 66-year old gentleman of high grade multifocal urothelial carcinoma in bladder diverticulum managed with radical cystectomy and standard pelvic lymph node dissection with an ileal conduit. Such cases have been addressed adequately in the literature, but we did not find such cases from our country.

Additional Files

Published

2021-11-19

How to Cite

Kumar Sah, A., Maharjan, B., Adhikari, M. B., Rana, R. ., Basnet, S. ., Panta, R., & Aryal, G. (2021). Radical Cystectomy for Intradiverticular Bladder Carcinoma: A Case Report. Journal of Nepal Medical Association, 59(242), 1069–1071. https://doi.org/10.31729/jnma.6228

Issue

Vol. 59 No. 242 (2021): JNMA: Published Monthly

Section

Case Reports

License

Copyright (c) 2021 Anil Kumar Sah, Bipin Maharjan, Mahesh Bahadur Adhikari, Reena Rana, Sunita Basnet, Rajesh Panta, Gopi Aryal

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