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Bladder Diverticulum
Amir A. Borhani, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          TERMINOLOGY

          • Synonyms

            • Vesicular diverticulum
            • Bladder pseudodiverticulum
          • 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

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Di Paolo PL et al: Intradiverticular bladder cancer: CT imaging features and their association with clinical outcomes. Clin Imaging. 39(1):94-8, 2015
                                        2. 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
                                        3. Shebel HM et al: Cysts of the lower male genitourinary tract: embryologic and anatomic considerations and differential diagnosis. Radiographics. 33(4):1125-43, 2013
                                        4. Torricelli FC et al: Hydroureteronephrosis secondary to juxta-uretrovesical junction bladder diverticula. Urology. 82(3):e26-7, 2013
                                        5. Alexander RE et al: Bladder diverticulum: clinicopathologic spectrum in pediatric patients. Pediatr Dev Pathol. 15(4):281-5, 2012
                                        6. 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
                                        7. Di Paola G et al: Pseudodiverticula of ureter: radiologic and histologic findings. Urology. 73(2):268-9, 2009
                                        8. Pansadoro V et al: Laparoscopic transvesical diverticulectomy. BJU Int. 103(3):412-24, 2009
                                        9. Hinojosa D et al: Inguinal herniation of a bladder diverticulum on PET/CT and associated complications. Clin Imaging. 32(6):483-6, 2008
                                        10. 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
                                        11. Golijanin D et al: Carcinoma in a bladder diverticulum: presentation and treatment outcome. J Urol. 170(5):1761-4, 2003
                                        12. Berrocal T et al: Anomalies of the distal ureter, bladder, and urethra in children: Embryologic, radiologic, and pathologic features. RadioGraphics 22: 1139-1164; 2002
                                        13. Maynor CH et al: Urinary bladder diverticula: sonographic diagnosis and interpretive pitfalls. J Ultrasound Med. 15(3):189-94, 1996
                                        14. 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
                                        15. Blane CE et al: Bladder diverticula in children. Radiology. 190(3):695-7, 1994
                                        16. Dondalski M et al: Carcinoma arising in urinary bladder diverticula: imaging findings in six patients. AJR Am J Roentgenol. 161(4):817-20, 1993
                                        17. Melekos MD et al: Vesical diverticula: etiology, diagnosis, tumorigenesis, and treatment. Analysis of 74 cases. Urology. 30(5):453-7, 1987
                                        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

                                                • Synonyms

                                                  • Vesicular diverticulum
                                                  • Bladder pseudodiverticulum
                                                • 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

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Di Paolo PL et al: Intradiverticular bladder cancer: CT imaging features and their association with clinical outcomes. Clin Imaging. 39(1):94-8, 2015
                                                                              2. 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
                                                                              3. Shebel HM et al: Cysts of the lower male genitourinary tract: embryologic and anatomic considerations and differential diagnosis. Radiographics. 33(4):1125-43, 2013
                                                                              4. Torricelli FC et al: Hydroureteronephrosis secondary to juxta-uretrovesical junction bladder diverticula. Urology. 82(3):e26-7, 2013
                                                                              5. Alexander RE et al: Bladder diverticulum: clinicopathologic spectrum in pediatric patients. Pediatr Dev Pathol. 15(4):281-5, 2012
                                                                              6. 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
                                                                              7. Di Paola G et al: Pseudodiverticula of ureter: radiologic and histologic findings. Urology. 73(2):268-9, 2009
                                                                              8. Pansadoro V et al: Laparoscopic transvesical diverticulectomy. BJU Int. 103(3):412-24, 2009
                                                                              9. Hinojosa D et al: Inguinal herniation of a bladder diverticulum on PET/CT and associated complications. Clin Imaging. 32(6):483-6, 2008
                                                                              10. 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
                                                                              11. Golijanin D et al: Carcinoma in a bladder diverticulum: presentation and treatment outcome. J Urol. 170(5):1761-4, 2003
                                                                              12. Berrocal T et al: Anomalies of the distal ureter, bladder, and urethra in children: Embryologic, radiologic, and pathologic features. RadioGraphics 22: 1139-1164; 2002
                                                                              13. Maynor CH et al: Urinary bladder diverticula: sonographic diagnosis and interpretive pitfalls. J Ultrasound Med. 15(3):189-94, 1996
                                                                              14. 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
                                                                              15. Blane CE et al: Bladder diverticula in children. Radiology. 190(3):695-7, 1994
                                                                              16. Dondalski M et al: Carcinoma arising in urinary bladder diverticula: imaging findings in six patients. AJR Am J Roentgenol. 161(4):817-20, 1993
                                                                              17. Melekos MD et al: Vesical diverticula: etiology, diagnosis, tumorigenesis, and treatment. Analysis of 74 cases. Urology. 30(5):453-7, 1987