High fever, cough with phlegm, sore throat, went to the doctor and found out I have 2 bladders

On April 15, E Hospital informed that the unit received a rare case, a 74-year-old woman was found to have 2 bladders.

This person was admitted to the hospital with a high fever, cough, sore throat, and was diagnosed with bronchopneumonia. Notably, from the CT scan results, doctors discovered that the patient had two bladders.

For the past few years, she has always had painful urination, frequent urination at night (3-4 times), and frequent urination during the day. However, because she thought the disease was common in the elderly, she did not go to the doctor.

Receiving the abdominal CT scan results, the patient was shocked to discover he had two bladders.

Doctor checks patient's health. (Photo: BVCC)

According to Dr. Nguyen The Thinh, Department of Urology and Andrology, E Hospital, having two bladders (a "true" bladder and a "false" bladder, also known as a bladder diverticulum) is a rare condition. Patients with bladder diverticula experience pain, frequent urinary tract infections, and urinary dysfunction due to urine not draining completely and accumulating.

This process, if prolonged, causes the diverticulum to become increasingly distended, compressing the bladder neck and urethra, leading to complications such as recurrent urinary tract infections, diverticulum stones, acute and chronic urinary retention, and most dangerously, bladder cancer or premalignant changes.

Bladder diverticula can be congenital or acquired. Congenital diverticula are usually caused by defects in the development of the bladder during fetal development. Acquired diverticula are more common in adults and are caused by urinary tract obstruction (bladder stones, prostate enlargement, bladder neck sclerosis, urethral stricture), neurogenic bladder disease, or bladder trauma.

In the early stages, bladder diverticula often have no specific symptoms, however, as its volume increases, symptoms of the disease begin to appear, usually due to local complications caused by the diverticula.

"A bladder diverticulum is like a bomb that can burst at any time and cause many dangerous complications. Therefore, in this case, the doctors chose laparoscopic surgery to remove the bladder diverticulum and return a healthy bladder to the patient," said Dr. Thinh.

Most people with bladder diverticula are discovered incidentally or during examinations for nonspecific urinary tract symptoms such as urinary retention, hematuria, or urinary tract infections. To prevent complications caused by bladder diverticula, regular health check-ups are necessary. In addition, to assess kidney function, besides ultrasound, blood and urine tests can be performed to allow for timely intervention.

NHU LOAN

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