Bladder Diverticulae: Difference between revisions
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=== Imaging === | === Imaging === | ||
* Many bladder diverticula are diagnosed incidentally, sometimes on imaging. | * Many bladder diverticula are diagnosed incidentally, sometimes on imaging. | ||
* '''Differential diagnosis of a fluid-filled structure adjacent to the bladder (5):''' | * [[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]]]]'''Differential diagnosis of a fluid-filled structure adjacent to the bladder (5):''' | ||
*# '''Müllerian cysts''' | *# '''Müllerian cysts''' | ||
*# '''Uterine, ovarian, and fallopian tube abnormalities''' | *# '''Uterine, ovarian, and fallopian tube abnormalities''' | ||
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** '''Can include cross-sectional studies and/or VCUG''' | ** '''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. | *** 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''' | |||
*** '''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''' | * '''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 7% of adults with bladder diverticula have been found to have asymptomatic or silent hydroureteronephrosis related to the diverticulum |