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Pediatrics
Diagnosis
Genitourinary
Bladder Abnormalities
Bladder Diverticula
Bladder Diverticula
Steven J. Kraus, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Definitions

            • Herniation of urinary bladder mucosa through bladder detrusor muscle
              • Primary (congenital) due to poor muscular backing near ureterovesical junction (UVJ)
              • Secondary (acquired) due to
                • Chronically elevated bladder pressures
                • Weak bladder wall in various connective tissue disorders
                • Iatrogenic/traumatic causes (prior surgery/catheter)

          IMAGING

          • General Features

            • Radiographic Findings

              • Ultrasonographic Findings

                • Fluoroscopic Findings

                  • CT Findings

                    • MR Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        Selected References

                                        1. Chen J et al: Multiple bladder diverticula with Williams-Beuren syndrome: a case report. Transl Pediatr. 9(6):863-6, 2020
                                        2. Saruggia M et al: A rare case of bladder diverticulosis. Clin Imaging. 65:33-6, 2020
                                        3. Marte A et al: Vesicoscopic treatment of symptomatic congenital bladder diverticula in children: a 7-year experience. Eur J Pediatr Surg. 26(3):240-4, 2016
                                        4. Celebi S et al: Current diagnosis and management of primary isolated bladder diverticula in children. J Pediatr Urol. 11(2):61.e1-5, 2015
                                        5. Im YJ et al: Implications of paraureteral diverticulum for the management of vesicoureteral reflux. Int J Urol. 22(9):850-3, 2015
                                        6. Silay MS et al: Management of the bladder and calyceal diverticulum: options in the age of minimally invasive surgery. Urol Clin North Am. 42(1):77-87, 2015
                                        7. Karakus SC et al: A bladder stone within a congenital paraureteral diverticulum: a case report. Urology. 84(2):475-7, 2014
                                        8. Kong MX et al: Histopathologic and clinical features of vesical diverticula. Urology. 82(1):142-7, 2013
                                        9. Psutka SP et al: Bladder diverticula in children. J Pediatr Urol. 9(2):129-38, 2013
                                        10. Singh BP et al: Hutch diverticulum presenting as acute urinary retention in early life. BMJ Case Rep, 2013
                                        11. Alexander RE et al: Bladder diverticulum: clinicopathologic spectrum in pediatric patients. Pediatr Dev Pathol. 15(4):281-5, 2012
                                        12. Bhat A et al: Congenital bladder diverticulum presenting as bladder outlet obstruction in infants and children. J Pediatr Urol. 8(4):348-53, 2012
                                        13. Cosimo QC et al: Kinky hair, kinky vessels, and bladder diverticula in Menkes disease. J Neuroimaging. 21(2):e114-6, 2011
                                        14. Ismail A et al: Congenital bladder diverticula as a cause of bladder outlet obstruction in children. Eur J Pediatr Surg. 21(5):345-7, 2011
                                        15. Aydogdu O et al: Predictors of surgical outcome in children with vesicoureteral reflux associated with paraureteral diverticula. Urology. 76(1):209-14, 2010
                                        16. Powell CR et al: Treatment of bladder diverticula, impaired detrusor contractility, and low bladder compliance. Urol Clin North Am. 36(4):511-25, vii, 2009
                                        17. Maynor CH et al: Urinary bladder diverticula: sonographic diagnosis and interpretive pitfalls. J Ultrasound Med. 15(3):189-94, 1996
                                        18. Bellah RD et al: Ureterocele eversion with vesicoureteral reflux in duplex kidneys: findings at voiding cystourethrography. AJR Am J Roentgenol. 165(2):409-13, 1995
                                        19. Blane CE et al: Bladder diverticula in children. Radiology. 190(3):695-7, 1994
                                        20. Weingardt JP et al: The diverticular jet effect: color Doppler differentiation of bladder diverticula from other pelvic fluid collections. J Clin Ultrasound. 22(6):397-400, 1994
                                        21. Hernanz-Schulman M et al: The elusiveness and importance of bladder diverticula in children. Pediatr Radiol. 15(6):399-402, 1985
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Clinical Issues

                                                TERMINOLOGY

                                                • Definitions

                                                  • Herniation of urinary bladder mucosa through bladder detrusor muscle
                                                    • Primary (congenital) due to poor muscular backing near ureterovesical junction (UVJ)
                                                    • Secondary (acquired) due to
                                                      • Chronically elevated bladder pressures
                                                      • Weak bladder wall in various connective tissue disorders
                                                      • Iatrogenic/traumatic causes (prior surgery/catheter)

                                                IMAGING

                                                • General Features

                                                  • Radiographic Findings

                                                    • Ultrasonographic Findings

                                                      • Fluoroscopic Findings

                                                        • CT Findings

                                                          • MR Findings

                                                            • Imaging Recommendations

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  • Microscopic Features

                                                                    CLINICAL ISSUES

                                                                    • Presentation

                                                                      • Demographics

                                                                        • Natural History & Prognosis

                                                                          • Treatment

                                                                            DIAGNOSTIC CHECKLIST

                                                                            • Consider

                                                                              Selected References

                                                                              1. Chen J et al: Multiple bladder diverticula with Williams-Beuren syndrome: a case report. Transl Pediatr. 9(6):863-6, 2020
                                                                              2. Saruggia M et al: A rare case of bladder diverticulosis. Clin Imaging. 65:33-6, 2020
                                                                              3. Marte A et al: Vesicoscopic treatment of symptomatic congenital bladder diverticula in children: a 7-year experience. Eur J Pediatr Surg. 26(3):240-4, 2016
                                                                              4. Celebi S et al: Current diagnosis and management of primary isolated bladder diverticula in children. J Pediatr Urol. 11(2):61.e1-5, 2015
                                                                              5. Im YJ et al: Implications of paraureteral diverticulum for the management of vesicoureteral reflux. Int J Urol. 22(9):850-3, 2015
                                                                              6. Silay MS et al: Management of the bladder and calyceal diverticulum: options in the age of minimally invasive surgery. Urol Clin North Am. 42(1):77-87, 2015
                                                                              7. Karakus SC et al: A bladder stone within a congenital paraureteral diverticulum: a case report. Urology. 84(2):475-7, 2014
                                                                              8. Kong MX et al: Histopathologic and clinical features of vesical diverticula. Urology. 82(1):142-7, 2013
                                                                              9. Psutka SP et al: Bladder diverticula in children. J Pediatr Urol. 9(2):129-38, 2013
                                                                              10. Singh BP et al: Hutch diverticulum presenting as acute urinary retention in early life. BMJ Case Rep, 2013
                                                                              11. Alexander RE et al: Bladder diverticulum: clinicopathologic spectrum in pediatric patients. Pediatr Dev Pathol. 15(4):281-5, 2012
                                                                              12. Bhat A et al: Congenital bladder diverticulum presenting as bladder outlet obstruction in infants and children. J Pediatr Urol. 8(4):348-53, 2012
                                                                              13. Cosimo QC et al: Kinky hair, kinky vessels, and bladder diverticula in Menkes disease. J Neuroimaging. 21(2):e114-6, 2011
                                                                              14. Ismail A et al: Congenital bladder diverticula as a cause of bladder outlet obstruction in children. Eur J Pediatr Surg. 21(5):345-7, 2011
                                                                              15. Aydogdu O et al: Predictors of surgical outcome in children with vesicoureteral reflux associated with paraureteral diverticula. Urology. 76(1):209-14, 2010
                                                                              16. Powell CR et al: Treatment of bladder diverticula, impaired detrusor contractility, and low bladder compliance. Urol Clin North Am. 36(4):511-25, vii, 2009
                                                                              17. Maynor CH et al: Urinary bladder diverticula: sonographic diagnosis and interpretive pitfalls. J Ultrasound Med. 15(3):189-94, 1996
                                                                              18. Bellah RD et al: Ureterocele eversion with vesicoureteral reflux in duplex kidneys: findings at voiding cystourethrography. AJR Am J Roentgenol. 165(2):409-13, 1995
                                                                              19. Blane CE et al: Bladder diverticula in children. Radiology. 190(3):695-7, 1994
                                                                              20. Weingardt JP et al: The diverticular jet effect: color Doppler differentiation of bladder diverticula from other pelvic fluid collections. J Clin Ultrasound. 22(6):397-400, 1994
                                                                              21. Hernanz-Schulman M et al: The elusiveness and importance of bladder diverticula in children. Pediatr Radiol. 15(6):399-402, 1985