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Ultrasound
Diagnosis
Urinary Tract
Bladder
Bladder Diverticulum
Bladder Diverticulum
Ashish P. Wasnik, MD, FSAR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Abbreviations

              • Bladder diverticula/outpouching

            • Definitions

              • Saccular outpouching from herniation of bladder mucosa and submucosa through muscular wall of bladder
              • Communicates with bladder lumen via wide or narrow neck

            IMAGING

            • General Features

              • Ultrasonographic Findings

                • Radiographic Findings

                  • Fluoroscopic Findings

                    • CT Findings

                      • MR Findings

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              • Gross Pathologic & Surgical Features

                                • Microscopic Features

                                  CLINICAL ISSUES

                                  • Presentation

                                    • Demographics

                                      • Natural History & Prognosis

                                        • Treatment

                                          DIAGNOSTIC CHECKLIST

                                          • Consider

                                            • Image Interpretation Pearls

                                              Selected References

                                              1. Shebel HM et al: Cysts of the lower male genitourinary tract: embryologic and anatomic considerations and differential diagnosis. Radiographics. 33(4):1125-43, 2013
                                              2. Alexander RE et al: Bladder diverticulum: clinicopathologic spectrum in pediatric patients. Pediatr Dev Pathol. 15(4):281-5, 2012
                                              3. Debenedectis CM et al: Incidental genitourinary findings on obstetrics/gynecology ultrasound. Ultrasound Q. 28(4):293-8, 2012
                                              4. Aslam F et al: Acute urinary retention as a result of a bladder diverticulum. Int J Urol. 13(5):628-30, 2006
                                              5. Pace AM et al: Congenital vesical diverticulum in a 38-year-old female. Int Urol Nephrol. 37(3):473-5, 2005
                                              6. Yang JM et al: Transvaginal sonography in the diagnosis, management and follow-up of complex paraurethral abnormalities. Ultrasound Obstet Gynecol. 25(3):302-6, 2005
                                              7. Shukla AR et al: Giant bladder diverticula causing bladder outlet obstruction in children. J Urol. 172(5 Pt 1):1977-9, 2004
                                              8. Wang CW et al: Pitfalls in the differential diagnosis of a pelvic cyst: lessons from a post-menopausal woman with bladder diverticulum. Int J Clin Pract. 58(9):894-6, 2004
                                              9. Cappele O et al: A study of the anatomic features of the duct of the urachus. Surg Radiol Anat. 23(4):229-35, 2001
                                              10. Yu JS et al: Urachal remnant diseases: spectrum of CT and US findings. Radiographics. 21(2):451-61, 2001
                                              11. Maynor CH et al: Urinary bladder diverticula: sonographic diagnosis and interpretive pitfalls. J Ultrasound Med. 15(3):189-94, 1996
                                              12. 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
                                              13. Itoh N et al: Spontaneous rupture of a bladder diverticulum: ultrasonographic diagnosis. J Urol. 152(4):1206-7, 1994
                                              14. Levine D et al: Using color Doppler jets to differentiate a pelvic cyst from a bladder diverticulum. J Ultrasound Med. 13(7):575-7, 1994
                                              15. Dondalski M et al: Carcinoma arising in urinary bladder diverticula: imaging findings in six patients. AJR Am J Roentgenol. 161(4):817-20, 1993
                                              16. Farhi J et al: Giant diverticulum of the bladder simulating ovarian cyst. Int J Gynaecol Obstet. 36(1):55-7, 1991
                                              17. Dragsted J et al: Urothelial carcinoma in a bladder diverticulum evaluated by transurethral ultrasonography. Scand J Urol Nephrol. 19(2):153-4, 1985
                                              Related Anatomy
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                                              Related Differential Diagnoses
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                                              References
                                              Tables

                                              Tables

                                              KEY FACTS

                                              • Terminology

                                                • Imaging

                                                  • Top Differential Diagnoses

                                                    • Pathology

                                                      • Clinical Issues

                                                        TERMINOLOGY

                                                        • Abbreviations

                                                          • Bladder diverticula/outpouching

                                                        • Definitions

                                                          • Saccular outpouching from herniation of bladder mucosa and submucosa through muscular wall of bladder
                                                          • Communicates with bladder lumen via wide or narrow neck

                                                        IMAGING

                                                        • General Features

                                                          • Ultrasonographic Findings

                                                            • Radiographic Findings

                                                              • Fluoroscopic Findings

                                                                • CT Findings

                                                                  • MR Findings

                                                                    • Imaging Recommendations

                                                                      DIFFERENTIAL DIAGNOSIS

                                                                        PATHOLOGY

                                                                        • General Features

                                                                          • Gross Pathologic & Surgical Features

                                                                            • Microscopic Features

                                                                              CLINICAL ISSUES

                                                                              • Presentation

                                                                                • Demographics

                                                                                  • Natural History & Prognosis

                                                                                    • Treatment

                                                                                      DIAGNOSTIC CHECKLIST

                                                                                      • Consider

                                                                                        • Image Interpretation Pearls

                                                                                          Selected References

                                                                                          1. Shebel HM et al: Cysts of the lower male genitourinary tract: embryologic and anatomic considerations and differential diagnosis. Radiographics. 33(4):1125-43, 2013
                                                                                          2. Alexander RE et al: Bladder diverticulum: clinicopathologic spectrum in pediatric patients. Pediatr Dev Pathol. 15(4):281-5, 2012
                                                                                          3. Debenedectis CM et al: Incidental genitourinary findings on obstetrics/gynecology ultrasound. Ultrasound Q. 28(4):293-8, 2012
                                                                                          4. Aslam F et al: Acute urinary retention as a result of a bladder diverticulum. Int J Urol. 13(5):628-30, 2006
                                                                                          5. Pace AM et al: Congenital vesical diverticulum in a 38-year-old female. Int Urol Nephrol. 37(3):473-5, 2005
                                                                                          6. Yang JM et al: Transvaginal sonography in the diagnosis, management and follow-up of complex paraurethral abnormalities. Ultrasound Obstet Gynecol. 25(3):302-6, 2005
                                                                                          7. Shukla AR et al: Giant bladder diverticula causing bladder outlet obstruction in children. J Urol. 172(5 Pt 1):1977-9, 2004
                                                                                          8. Wang CW et al: Pitfalls in the differential diagnosis of a pelvic cyst: lessons from a post-menopausal woman with bladder diverticulum. Int J Clin Pract. 58(9):894-6, 2004
                                                                                          9. Cappele O et al: A study of the anatomic features of the duct of the urachus. Surg Radiol Anat. 23(4):229-35, 2001
                                                                                          10. Yu JS et al: Urachal remnant diseases: spectrum of CT and US findings. Radiographics. 21(2):451-61, 2001
                                                                                          11. Maynor CH et al: Urinary bladder diverticula: sonographic diagnosis and interpretive pitfalls. J Ultrasound Med. 15(3):189-94, 1996
                                                                                          12. 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
                                                                                          13. Itoh N et al: Spontaneous rupture of a bladder diverticulum: ultrasonographic diagnosis. J Urol. 152(4):1206-7, 1994
                                                                                          14. Levine D et al: Using color Doppler jets to differentiate a pelvic cyst from a bladder diverticulum. J Ultrasound Med. 13(7):575-7, 1994
                                                                                          15. Dondalski M et al: Carcinoma arising in urinary bladder diverticula: imaging findings in six patients. AJR Am J Roentgenol. 161(4):817-20, 1993
                                                                                          16. Farhi J et al: Giant diverticulum of the bladder simulating ovarian cyst. Int J Gynaecol Obstet. 36(1):55-7, 1991
                                                                                          17. Dragsted J et al: Urothelial carcinoma in a bladder diverticulum evaluated by transurethral ultrasonography. Scand J Urol Nephrol. 19(2):153-4, 1985