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Bladder Diverticulum
Bryan R. Foster, MD; Amir A. Borhani, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          TERMINOLOGY

          • Definitions

            • Sac formed by herniation of bladder mucosa and submucosa through muscular wall
            • Hutch diverticulum: Congenital form secondary to weakness in detrusor muscle anterolateral to ureteral orifice

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                • MR Findings

                  • Ultrasonographic Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Microscopic Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      Selected References

                                      1. Canalichio KL et al: Osseous metaplasia in a bladder diverticulum in a patient with mosaic Menkes disease. Urology. 136:238-40, 2020
                                      2. Cornejo KM et al: Updates in staging and reporting of genitourinary malignancies. Arch Pathol Lab Med. 144(3):305-19, 2020
                                      3. Britto MM et al: Delayed diagnosis of spontaneous rupture of a congenital bladder diverticulum as a rare cause of an acute abdomen. ANZ J Surg. 89(9):E385-7, 2019
                                      4. Wentland AL et al: Bladder cancer and its mimics: a sonographic pictorial review with CT/MR and histologic correlation. Abdom Radiol (NY). 44(12):3827-42, 2019
                                      5. Voskuilen CS et al: Urothelial carcinoma in bladder diverticula: A multicenter analysis of characteristics and clinical outcomes. Eur Urol Focus. ePub, 2018
                                      6. Braga A et al: Occasional finding of giant bladder diverticulum that simulated an ovarian cyst: A case report and literature review. J Obstet Gynaecol Res. 42(3):235-8, 2016
                                      7. Jain VK et al: Congenital bladder diverticula detected on imaging. J Pediatr. 170:331, 2016
                                      8. Di Paolo PL et al: Intradiverticular bladder cancer: CT imaging features and their association with clinical outcomes. Clin Imaging. 39(1):94-8, 2015
                                      9. 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
                                      10. Shebel HM et al: Cysts of the lower male genitourinary tract: embryologic and anatomic considerations and differential diagnosis. Radiographics. 33(4):1125-43, 2013
                                      11. Torricelli FC et al: Hydroureteronephrosis secondary to juxta-uretrovesical junction bladder diverticula. Urology. 82(3):e26-7, 2013
                                      12. Alexander RE et al: Bladder diverticulum: clinicopathologic spectrum in pediatric patients. Pediatr Dev Pathol. 15(4):281-5, 2012
                                      13. Raheem OA et al: Surgical management of bladder transitional cell carcinoma in a vesicular diverticulum: case report. Can Urol Assoc J. 5(4):E60-4, 2011
                                      14. Pansadoro V et al: Laparoscopic transvesical diverticulectomy. BJU Int. 103(3):412-24, 2009
                                      15. Hinojosa D et al: Inguinal herniation of a bladder diverticulum on PET/CT and associated complications. Clin Imaging. 32(6):483-6, 2008
                                      16. Haecker A et al: Diverticular carcinoma of the urinary bladder: diagnosis and treatment problems. A case report. Med Princ Pract. 14(2):121-4, 2005
                                      17. Golijanin D et al: Carcinoma in a bladder diverticulum: presentation and treatment outcome. J Urol. 170(5):1761-4, 2003
                                      18. Berrocal T et al: Anomalies of the distal ureter, bladder, and urethra in children: Embryologic, radiologic, and pathologic features. RadioGraphics 22: 1139-1164; 2002
                                      19. Maynor CH et al: Urinary bladder diverticula: sonographic diagnosis and interpretive pitfalls. J Ultrasound Med. 15(3):189-94, 1996
                                      20. 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
                                      21. Blane CE et al: Bladder diverticula in children. Radiology. 190(3):695-7, 1994
                                      22. Dondalski M et al: Carcinoma arising in urinary bladder diverticula: imaging findings in six patients. AJR Am J Roentgenol. 161(4):817-20, 1993
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Pathology

                                              TERMINOLOGY

                                              • Definitions

                                                • Sac formed by herniation of bladder mucosa and submucosa through muscular wall
                                                • Hutch diverticulum: Congenital form secondary to weakness in detrusor muscle anterolateral to ureteral orifice

                                              IMAGING

                                              • General Features

                                                • Radiographic Findings

                                                  • CT Findings

                                                    • MR Findings

                                                      • Ultrasonographic Findings

                                                        • Imaging Recommendations

                                                          DIFFERENTIAL DIAGNOSIS

                                                            PATHOLOGY

                                                            • General Features

                                                              • Microscopic Features

                                                                CLINICAL ISSUES

                                                                • Presentation

                                                                  • Demographics

                                                                    • Natural History & Prognosis

                                                                      • Treatment

                                                                        DIAGNOSTIC CHECKLIST

                                                                        • Consider

                                                                          Selected References

                                                                          1. Canalichio KL et al: Osseous metaplasia in a bladder diverticulum in a patient with mosaic Menkes disease. Urology. 136:238-40, 2020
                                                                          2. Cornejo KM et al: Updates in staging and reporting of genitourinary malignancies. Arch Pathol Lab Med. 144(3):305-19, 2020
                                                                          3. Britto MM et al: Delayed diagnosis of spontaneous rupture of a congenital bladder diverticulum as a rare cause of an acute abdomen. ANZ J Surg. 89(9):E385-7, 2019
                                                                          4. Wentland AL et al: Bladder cancer and its mimics: a sonographic pictorial review with CT/MR and histologic correlation. Abdom Radiol (NY). 44(12):3827-42, 2019
                                                                          5. Voskuilen CS et al: Urothelial carcinoma in bladder diverticula: A multicenter analysis of characteristics and clinical outcomes. Eur Urol Focus. ePub, 2018
                                                                          6. Braga A et al: Occasional finding of giant bladder diverticulum that simulated an ovarian cyst: A case report and literature review. J Obstet Gynaecol Res. 42(3):235-8, 2016
                                                                          7. Jain VK et al: Congenital bladder diverticula detected on imaging. J Pediatr. 170:331, 2016
                                                                          8. Di Paolo PL et al: Intradiverticular bladder cancer: CT imaging features and their association with clinical outcomes. Clin Imaging. 39(1):94-8, 2015
                                                                          9. 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
                                                                          10. Shebel HM et al: Cysts of the lower male genitourinary tract: embryologic and anatomic considerations and differential diagnosis. Radiographics. 33(4):1125-43, 2013
                                                                          11. Torricelli FC et al: Hydroureteronephrosis secondary to juxta-uretrovesical junction bladder diverticula. Urology. 82(3):e26-7, 2013
                                                                          12. Alexander RE et al: Bladder diverticulum: clinicopathologic spectrum in pediatric patients. Pediatr Dev Pathol. 15(4):281-5, 2012
                                                                          13. Raheem OA et al: Surgical management of bladder transitional cell carcinoma in a vesicular diverticulum: case report. Can Urol Assoc J. 5(4):E60-4, 2011
                                                                          14. Pansadoro V et al: Laparoscopic transvesical diverticulectomy. BJU Int. 103(3):412-24, 2009
                                                                          15. Hinojosa D et al: Inguinal herniation of a bladder diverticulum on PET/CT and associated complications. Clin Imaging. 32(6):483-6, 2008
                                                                          16. Haecker A et al: Diverticular carcinoma of the urinary bladder: diagnosis and treatment problems. A case report. Med Princ Pract. 14(2):121-4, 2005
                                                                          17. Golijanin D et al: Carcinoma in a bladder diverticulum: presentation and treatment outcome. J Urol. 170(5):1761-4, 2003
                                                                          18. Berrocal T et al: Anomalies of the distal ureter, bladder, and urethra in children: Embryologic, radiologic, and pathologic features. RadioGraphics 22: 1139-1164; 2002
                                                                          19. Maynor CH et al: Urinary bladder diverticula: sonographic diagnosis and interpretive pitfalls. J Ultrasound Med. 15(3):189-94, 1996
                                                                          20. 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
                                                                          21. Blane CE et al: Bladder diverticula in children. Radiology. 190(3):695-7, 1994
                                                                          22. Dondalski M et al: Carcinoma arising in urinary bladder diverticula: imaging findings in six patients. AJR Am J Roentgenol. 161(4):817-20, 1993