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Congenital bladder diverticulum and Ehlers-Danlos syndrome: an unusual association
Authors:Bachiller Burgos J  Varo Solís C  Báez J M  Estudillo F  Juárez Soto A  Soto Delgado M  Beltrán Aguilar V  González Moreno D  Sánchez Bernal C  Rodríguez-Rubio F
Institution:Servicio de Urología, H.C.U. Puerto Real, Cádiz.
Abstract:The existence of a vesical diverticulum in the context of a congenital connective tissue disorder such as Ehlers-Danlos syndrome led us to consider the possibility of a relationship. Four types of diverticula can be found in the literature: congenital, acquired, iatrogenic and syndrome-associated. Within the later, Ehlers-Danlos syndromes type IV and IX, even type V, are associated to the existence of vesical diverticula. The potential spontaneous rupture of the diverticulum is a typical feature, as well as post-surgery relapse. The attitude towards such diverticula should be one of watchful waiting, and simple, plasty-free diverticulectomy on the bladder's neck is indicated when performing a surgical procedure.
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