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Curr Urol. 2018 Mar;11(3):163-165. doi: 10.1159/000447212. Epub 2018 Feb 20.

Incidental Finding of Urethral Diverticulum in a Woman with History of Recurrent Urinary Tract Infections.

Current urology

Vishnu R Mani, Aleksandr Kalabin, Ankita Mishra, Brian Davis-Joseph

Affiliations

  1. Department of Surgery, New York University School of Medicine, New York, NY, USA.
  2. Department of Surgery, Columbia University College of Physicians and Surgeons at Harlem Hospital Center, New York, NY, USA.

PMID: 29692697 PMCID: PMC5903467 DOI: 10.1159/000447212

Abstract

We present an incidental finding and management of a urethral diverticulum containing mixed composition of struvite and ammonium urate stones. Status post sleeve gastrectomy, patient presented to our bariatric clinic with epigastric pain associated with nausea and vomiting. A computed tomography scan was performed to rule out any complications of the procedure in which urethral stones were reported contained within a diverticulum. This finding, in retrospect, correlated with patient's past history of recurrent urinary tract infections. Over all, urethral diverticulum with struvite stones is a rare entity with few reported cases in literature thus a high index of suspicion is needed in patients with related symptoms. Here a case presentation and treatment rationale are described along with a brief review of existing literature.

Keywords: Cystoscopy; Epigastric pain; Staghorn calculus; Struvite stone; Urease-producing organism; Urethral diverticulum; Urolithiasis

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