Akbulut, SamiCakabay, BahriSezgin, ArsenalIsen, KenanSenol, Ayhan2024-04-242024-04-2420091007-93272219-2840https://doi.org/10.3748/wjg.15.3957https://hdl.handle.net/11468/19306Vesical diverticula frequently result from bladder outlet obstructions. However, giant vesical diverticula which cause acute abdomen or intestinal obstruction are very rare. Our review of the English medical literature found 3 cases of bladder diverticula which caused gastrointestinal symptoms. Here, we present a 57-year-old man with a giant diverticulum of the urinary bladder who complained of abdominal pain, nausea and vomiting, constipation, no passage of gas or feces, and abdominal distension for 3 d. A 20 cm x 15 cm diverticulum was observed upon laparotomy. The colonic obstruction was secondary to external compression of the rectum against the sacrum by a distended vesical diverticulum. We performed a diverticulectomy and primary closure. Twelve months postoperatively, the patient had no difficulty with voiding or defecation. (c) 2009 The WJG Press and Baishideng. All rights reserved.eninfo:eu-repo/semantics/openAccessColonic ObstructionDefecationDiverticulectomyUrinary BladderVesical DiverticulumArticle153139573959WOS:0002692029000211970198210.3748/wjg.15.3957Q3