Presented with low abdominal pain, more pronounced on the right, with guarding and rebound tenderness. WBC 15.3 K/uL, neutrophils 86.3%. The appendix could not be located on ultrasonography. The CT study showed a normal appendix and a hitherto unknown urethral diverticulum.

A urology consultation was ordered:
A cystic mass was palpated through the vaginal wall over the urethra and to its left. On compression, a small amount of urine flowed through the urethra.

Regrettably, the case was lost to follow-up.