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Vesico-urachal diverticulum

Gaby CEG - MedPix (2011)

View Article: MedPix Image - MedPix Case

Affiliation: University of Kentucky

ABSTRACT

Diagnosis: Vesico-urachal diverticulum

History: 34 year old man seen by his primary care physician for management of newly diagnosed hypertension and diabetes. No family or personal history of urinary neoplasms. No urinary or abdominal symptoms.

Findings: • CT urography shows an anterior extension of the bladder lumen, without evidence of mass. • This "diverticulum" extends from the anterior bladder dome to a small, fat containing, umbilical hernia.

Ddx: • fistulous tract from the bladder • bladder diverticulum • ulcerating bladder neoplasm • persistent urachal duct or diverticulum

Dxhow: CT urography

Exam: On urine sample for evaluation of microalbumin and microscopic hematuria were noted (mild blood, 3 RBCs). One month later, repeat urinalysis also had small amt. blood and 2 RBCs. Additional tests were ordered.

No MeSH data available.


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Vesico-urachal diverticulum

Gaby CEG - MedPix (2011)

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1404&req=5

View Article: MedPix Image - MedPix Case

Affiliation: University of Kentucky

ABSTRACT

Diagnosis: Vesico-urachal diverticulum

History: 34 year old man seen by his primary care physician for management of newly diagnosed hypertension and diabetes. No family or personal history of urinary neoplasms. No urinary or abdominal symptoms.

Findings: • CT urography shows an anterior extension of the bladder lumen, without evidence of mass. • This "diverticulum" extends from the anterior bladder dome to a small, fat containing, umbilical hernia.

Ddx: • fistulous tract from the bladder • bladder diverticulum • ulcerating bladder neoplasm • persistent urachal duct or diverticulum

Dxhow: CT urography

Exam: On urine sample for evaluation of microalbumin and microscopic hematuria were noted (mild blood, 3 RBCs). One month later, repeat urinalysis also had small amt. blood and 2 RBCs. Additional tests were ordered.

No MeSH data available.