Occasional finding of giant bladder diverticulum that simulated an ovarian cyst: A case report and literature review

The Journal of Obstetrics and Gynaecology Research
Andrea BragaGiorgio Caccia

Abstract

We present a case of a preoperatively unrecognized giant bladder diverticulum in a 63-year-old postmenopausal woman. We carried out preoperative ultrasonographic evaluation and suspected an ovarian cyst. We performed two transvaginal ultrasonography scans before surgery, asking the patient to totally empty her bladder. Consequently, we decided to subject the patient to laparoscopic cyst removal. However, during surgery, the presumed ovarian cyst was not found and a bladder diverticulum was suspected. To confirm our hypothesis, we filled the bladder with saline until the reappearance of giant swelling and we recognized a bladder diverticulum. This case shows that diagnosis based on imaging alone can reveal unpleasant pitfalls. It is important to integrate clinical information, and to consider other possible investigations in order to reduce the chances of a misdiagnosis.

References

Sep 1, 1991·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·J FarhiJ A Goldman
Mar 1, 1996·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·C H MaynorB A Carroll
Jan 14, 2011·Updates in Surgery·Antonio Pio TortorelliGiovanni Battista Doglietto
Dec 24, 2011·JBR-BTR : Organe De La Société Royale Belge De Radiologie (SRBR) = Orgaan Van De Koninklijke Belgische Vereniging Voor Radiologie (KBVR)·A J KruseR F P M Kruitwagen
Jan 1, 2011·Case Reports in Emergency Medicine·Michael Silberman, Rebecca Jeanmonod
Dec 3, 2014·Radiologic Clinics of North America·Linda C ChuUlrike M Hamper

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Citations

Nov 14, 2017·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Akram M ShaabanKhaled M Elsayes

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JBR-BTR : Organe De La Société Royale Belge De Radiologie (SRBR) = Orgaan Van De Koninklijke Belgische Vereniging Voor Radiologie (KBVR)
A J KruseR F P M Kruitwagen
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