DOI: http://dx.doi.org/10.18203/2349-2902.isj20193361

Right iliac fossa lump: a diagnostic surprise

Balaji Chandhirasekar, Sushanto Neogi

Abstract


A 42 years gentleman presented with recurrent urinary tract infection and intermittent lump in the right side of abdomen for 4 months. Clinically, soft cystic lump in the right iliac fossa with ill-defined lower margins, and disappeared on micturition. Contrast enhanced CT urography showing a large urinary bladder diverticulum of 107mm×52 mm. Cystoscopy confirmed a bladder diverticulum on left lateral wall of urinary baldder, superolateral to left ureteral orifice with no bladder trabeculations and bilateral normal ureteric orifice. Patient underwent open diverticulectomy with primary repair of urinary bladder wall done. Histopathology confirmed the presence of all layers in the wall of diverticulum. Postoperative period was uneventful. Patient resolved of symptoms in the 6 month follow up period.


Keywords


Recurrent urinary tract infection, Congenital bladder diverticulum in adult, Diverticulectomy

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References


Cerwinka WH, Scherz HC, Kirsch AJ. Endoscopic treatment reflux associated with paraureteral diverticula in children. J Urol. 2007;178:1469–73.

Öge Ö, Gemalmaz H, Özeren B. Acute urinary retention in a child caused by a congenital bladder diverticulum. J Pediatr Surg. 2002;37(6):926-7.

Garat JM, Angerri O, Caffaratti J, Moscatiello P, Villavicencio H. Primary congenital bladder diverticula in children. Urology. 2007;70(5):984-8.

Blane CE, Zerin JM, Bloom DA. Bladder diverticula in children. Radiology. 1994;190(3):695-7.

Shah KJ. Bladder diverticulum: an uncommon cause of acute retention of urine in a male child. Br J Radiol. 1979;52(618):504-6.

Sheldon CA, Essig KA. Congenital bladder Diverticulum causing bladder outlet obstruction: Case report and review of the literature. Pediatr Surg Int. 1994;9:141-3.

Psutka SP, Cendron M. Bladder diverticula in children. J Pediatr Urol. 2013;9(2):129-38.

Shukla AR, Bellah RA, Canning DA, Carr MC, Snyder HM, Zderic SA. Giant bladder diverticula causing bladder outlet obstruction in children. J Urol. 2004;172(5 Pt 1):1977e9.

Pace AM, Powell C. Congenital vesical diverticulum in a 38- year-old female. Int Urol Nephrol. 2005;37(3):473e5.

Evangelidis A, Castle EP, Ostlie DJ, Snyder CL, Gatti JM, Murphy JP. Surgical management of primary bladder diverticula in children. J Pediatric Surg. 2005;40(4):701-3.