Urinary bladder diverticulum

Case contributed by Dr Fakhry Mahmoud Ebouda

Presentation

Difficulty in passing urine with weakness of urinary stream.

Patient Data

Age: 65 years
Gender: Male
Ultrasound

A large oblong shaped fluid filled, mucosal outpouching related to the left posterior inferior lateral aspect of the urinary bladder wall with a rather wide neck connection in-between. It measures about 16mm in maximum diameter.

CT

CT images confirm US images of a relative large oblong shaped fluid filled, mucosal outpouching related to the left posterior inferior lateral aspect of the urinary bladder wall with a rather wide neck connection in-between. Images are suggestive of large urinary bladder diverticulum with a wide neck connection as above described. Prostatic enlargement with concertions.

The fullness of the collecting system of the left kidney with dilated upper third ureter and laterally displaced iliac/pelvic ureter by the effect of the full diverticulum. No ureteric stones or masses.

Case Discussion

A urinary bladder diverticulum is an outpouching from the bladder wall, so mucosa herniates through the bladder wall.

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Case information

rID: 68517
Published: 4th Jun 2019
Last edited: 14th Aug 2019
System: Urogenital
Inclusion in quiz mode: Included

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