@2024 Afarand., IRAN
ISSN: 2251-8215 Sarem Journal of Reproductive Medicine 2017;1(4):
ISSN: 2251-8215 Sarem Journal of Reproductive Medicine 2017;1(4):
Case Report of a Pelvic Mass; Bladder Diverticulum
ARTICLE INFO
Article Type
Case ReportAuthors
Saremi A.T. (1)Rasekhi M. (*)
(*) Sarem Fertility and Infertility Research Center (SAFIR), Sarem Women’s Hospital, Tehran, Iran
(1) “Sarem Fertility & Infertility Research Center (SAFIR)” and “Sarem Cell Research Center (SCRC)” , Sarem Women’s Hospital, Tehran, Iran
Correspondence
Address: Sarem Women’s Hospital, Basij Square, Phase 3, Ekbatan Town, Tehran, Iran. Postal Code: 1396956111Phone: +98 (21) 44670888
Fax: +98 (21) 44670432
m.rasekhi10@ gmail.com
Article History
Received: April 24, 2016Accepted: October 16, 2016
ePublished: November 15, 2016
ABSTRACT
Aims
One of the diseases of the urinary system is bladder diverticulum. Bladder diverticula are seen in different sizes, individual or multiple. These lesions may be congenital and create symptoms during childhood, which are usually diagnosed during this period, or may be acquired, resulting from narrowing of the urinary tract from the bladder (for example, prostate hypertrophy). Occasionally, diverticula are diagnosed in abdominal and pelvic imaging procedures, without causing a problem for the patient.
The case reported is a bloody diverticulum presented as pelvic mass and not detected before surgery. The patient suffered from abdominal pain and did not describe the symptoms of urinary tract infection. In the imaging procedures, the pelvic mass has been reported without communication with the bladder, and only during laparoscopy, we noticed the association of mass with the bladder, and the patient was subjected to diverticulectomy.
Conclusion Diseases do not necessarily reveal themselves with the typical symptoms mentioned in the texts, and the important point is that paraclinical methods are not always accurate and recognizable. Laparoscopy can be considered as a precise diagnostic method and fully reveals the organs of the abdomen and pelvis.
Conclusion Diseases do not necessarily reveal themselves with the typical symptoms mentioned in the texts, and the important point is that paraclinical methods are not always accurate and recognizable. Laparoscopy can be considered as a precise diagnostic method and fully reveals the organs of the abdomen and pelvis.
CITATION LINKS
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[10]Singh N, Singh U, Verma ML. Ruptured bicornuate uterus mimicking ectopic pregnancy: A case report. The J Obstet Gynaecol Res. 2013;39(1):364-6.
[11]Temiz A, Akçora B, Atik E. An atypical bladder diverticulum presented with recurrent peritonitis: Case report. Ulus Travma Acil Cerrahi Derg. 2011;17(4):365-7.
[12]Pradhan MR, Ranjan P, Kapoor R. Female urethral diverticulum presenting with acute urinary retention: Reporting the largest diverticulum with review of literature. Indian J Urol. 2012;28(2):216-8.
[13]Alexander RE, Kum JB, Idrees M. Bladder diverticulum: Clinicopathologic spectrum in pediatric patients. Pediatr Dev Pathol. 2012;15(4):281-5.
[14]Fujita N, Tambo M, Shishido T, Okegawa T, Nutahara K, Higashihara E. Case of congenital bladder diverticulum--cause of urinary retention in adulthood. Nihon Hinyokika Gakkai Zasshi. 2010;101(4):619-21. [Japanese]
[15]Cho FN, Liu CB. Median umbilical ligament or vesicourachal diverticulum. J Minim Invasive Gynecol. 2012;19(2):150-1.
[16]Moore CR, Shirodkar SP, Avallone MA, Castle SM, Gorin MA, Gorbatiy V, et al. Intravesical methylene blue facilitates precise identification of the diverticular neck during robot-assisted laparoscopic bladder diverticulectomy. J Laparoendosc Adv Surg Tech A. 2012;22(5):492-5.
[2]Miller A. The aetiology and treatment of diverticulum of the bladder. Br J Urol. 1958;30(1):43-56.
[3]Kaneko N, Kawasaki T, Boku H, Kamitani T. Syncope in a patient with giant bladder diverticulum. Intern Med. 2012;51(14):1935-6.
[4]Moralioglu S, Bosnali O, Celayir AC, Sahin C. Extravesical approach in paraureteral bladder diverticulum: A case report. West Indian Med J. 2014;63(2):201-3.
[5]Khemakhem R, Ghorbel S, Jlidi S, Nouira F, Louati H, Douira W, et al. Management of congenital bladder diverticulum in children: A report of seven cases. Afr J Paediatr Surg. 2013;10(2):160-3.
[6]Hossain MZ, Hasan GZ, Siddiqui TH. Congenital bladder diverticulum causing acute urinary retention in an infant. Mymensingh Med J. 2012;21(2):360-2.
[7]Vaddi S, Pogula VR, Devraj R, Sreedhar AV. Congenital bladder diverticulum- a rare adult presentation. J Surg Case Rep. 2011;2011(4):8.
[8]Sammour ZM, Gomes CM, de Bessa J Jr, Pinheiro MS, Kim CA, Hisano M, et al. Congenital genitourinary abnormalities in children with Williams-Beuren syndrome. J pediatr urol. 2014;10(5):804-9.
[9]Okeke LI, Takure AO, Adebayo SA, Oluyemi OY, Oyelekan AAA. Urethral obstruction from dislodged bladder diverticulum stones: A case report. BMC Urol. 2012;12:31.
[10]Singh N, Singh U, Verma ML. Ruptured bicornuate uterus mimicking ectopic pregnancy: A case report. The J Obstet Gynaecol Res. 2013;39(1):364-6.
[11]Temiz A, Akçora B, Atik E. An atypical bladder diverticulum presented with recurrent peritonitis: Case report. Ulus Travma Acil Cerrahi Derg. 2011;17(4):365-7.
[12]Pradhan MR, Ranjan P, Kapoor R. Female urethral diverticulum presenting with acute urinary retention: Reporting the largest diverticulum with review of literature. Indian J Urol. 2012;28(2):216-8.
[13]Alexander RE, Kum JB, Idrees M. Bladder diverticulum: Clinicopathologic spectrum in pediatric patients. Pediatr Dev Pathol. 2012;15(4):281-5.
[14]Fujita N, Tambo M, Shishido T, Okegawa T, Nutahara K, Higashihara E. Case of congenital bladder diverticulum--cause of urinary retention in adulthood. Nihon Hinyokika Gakkai Zasshi. 2010;101(4):619-21. [Japanese]
[15]Cho FN, Liu CB. Median umbilical ligament or vesicourachal diverticulum. J Minim Invasive Gynecol. 2012;19(2):150-1.
[16]Moore CR, Shirodkar SP, Avallone MA, Castle SM, Gorin MA, Gorbatiy V, et al. Intravesical methylene blue facilitates precise identification of the diverticular neck during robot-assisted laparoscopic bladder diverticulectomy. J Laparoendosc Adv Surg Tech A. 2012;22(5):492-5.