What's the most likely diagnosis?
- Cystogram of a 21 year-old male with dysuria
- Bladder ears
- Carcinoma of the bladder
- Ingested foreign body
- Colonic fistula
- Bladder diverticula
Answer:
5. Bladder diverticula
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Bladder Diverticula
General Considerations
- Uncommon
- May be congenital or acquired
- Congenital (Hutch diverticula) are usually solitary
- Acquired arise from obstruction, infection or are iatrogenic
- More common than congenital
- Multiple
- Bladder is usually trabeculated
- Congenital arise from herniation of the mucosa through the musculature of the bladder wall
- Can become larger than bladder
- Usually occur lateral and superior to openings of ureters
- Single diverticula on one or both sides of bladder may be an incidental finding but multiple diverticula on the same side suggests an underlying condition
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