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Adult metaplastic hutch diverticulum with robotic-assisted diverticulectomy and reconstruction:A case report

World Journal of Clinical Cases 2020年第20期8卷 4895-4901页

作者： Che H Yang Yi S Lin Yen C Ou Wei C Weng Li H Huang Chin H Lu Chao Y Hsu Min C Tung Department of Surgery Division of UrologyTungs’Taichung MetroHarbor HospitalTaichung City 435403Taiwan

BACKGROUND Hutch diverticulum arises from the compromised muscular development at the ureteral *** is a congenital disease and extremely rare in adult,only accounting for about 3%occurrence *** can be either symptomatic or asymptomatic,and relies on image tools for diagnosis and preoperative *** for surgery are dependent on the complications from the *** is about 10%among those with hutch diverticulum,and it still has chances turning into malignancy,especially urothelial cell *** SUMMARY A 27-year-old man was presented with frequently recurrent urinary tract infection for one year,and had suffered from intermittent right flank pain for 3 *** past medical histories were recorded *** obvious abnormalities on laboratory data and urine examination were *** ultrasound,right hydronephrosis was seen and an anatomical abnormality was observed on intravenous *** computed tomography urogram showed one diverticulum seated at superolateral side of right ureteral *** was done and biopsy results showed focal *** discussing with him,roboticassisted diverticulectomy with reconstruction was *** hydronephrosis was greatly improved after *** has completed his 1.5-year follow-ups,and no malignancies were seen from urine cytology and image of intravenous *** robotic-assisted diverticulectomy and reconstruction to hutch diverticulum is a safe and efficient operation,providing several advantages over open and laparoscopic ones.

关键词： Diverticulum complications Urinary bladder abnormalities Diverticulum surgery robotic surgical procedures methods Treatment outcome Case report

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