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=== Imaging === * Many bladder diverticula are diagnosed incidentally, sometimes on imaging. * [[File:Bladder Diverticulum.jpg|alt=Axial CT scan demonstrating a bladder diverticulum|thumb|500x500px|Axial CT scan demonstrating a bladder diverticulum. Source: [[commons:File:Bladder_Diverticulum.jpg|Wikipedia]]]]'''<span style="color:#ff0000">Differential diagnosis of a fluid-filled structure adjacent to the bladder (5):''' *# '''<span style="color:#ff0000">Müllerian cysts''' *# '''<span style="color:#ff0000">Uterine, ovarian, and fallopian tube abnormalities''' *# '''<span style="color:#ff0000">Urachal cysts''' *# '''<span style="color:#ff0000">Ectopic ureter or ureterocele''' *# '''<span style="color:#ff0000">Postsurgical changes, including lymphocele''' * '''Lower urinary tract imaging''' ** '''Can include cross-sectional studies and/or VCUG''' *** Cross-sectional imaging may provide useful information regarding bladder diverticula (number, location, filling-defect in case of obstructed diverticulum neck) and critical information regarding the surrounding anatomy. ***'''VCUG''' with anterior-posterior, oblique, and lateral images '''provides''' '''information regarding anatomy, location, and size and also associated vesicoureteral reflux and, importantly, emptying of the bladder diverticulum with voiding''' * '''Consider upper tract imaging''' ** Up to 7% of adults with bladder diverticula have been found to have asymptomatic or silent hydroureteronephrosis related to the diverticulum ** Up to 30% of children with bladder diverticula have been found to have upper tract abnormalities, including renal scarring, dysplasia, and hydronephrosis
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