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01 March 2017 : Case report  Malaysia

Giant Intradiverticular Bladder Tumor

Challenging differential diagnosis, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)

Mohamad Syafeeq Faeez Md Noh1ABDEF*, Ahmad Fuad Abdul Aziz2B, Khairul Asri Mohd Ghani3D, Christopher Lee Kheng Siang4D, Rosna Yunus5BCD, Mubarak Mohd Yusof2BCD

DOI: 10.12659/AJCR.902101

Am J Case Rep 2017; 18:212-216

Abstract

BACKGROUND: Intradiverticular bladder tumors are rare. This renders diagnosis of an intradiverticular bladder tumor difficult. Imaging plays a vital role in achieving the diagnosis, and subsequently staging of the disease.

CASE REPORT: A 74-year-old male presented to our center with a few months history of constitutional symptoms. Upon further history, he reported hematuria two months prior to presentation, which stopped temporarily, only to recur a few days prior to coming to the hospital. The patient admitted to having lower urinary tract symptoms. However, there was no dysuria, no sandy urine, and no fever. Palpation of his abdomen revealed a vague mass at the suprapubic region, which was non tender. In view of his history and the clinical examination findings, an ultrasound of the abdomen and computed tomography (CT) was arranged. These investigations revealed a giant tumor that seemed to be arising from a bladder diverticulum, with a mass effect and hydronephrosis. He later underwent operative intervention.

CONCLUSIONS: Intradiverticular bladder tumors may present a challenge to the treating physician in an atypical presentation; thus requiring a high index of suspicion and knowledge of tumor pathophysiology. As illustrated in our case, CT with its wide availability and multiplanar imaging capabilities offers a useful means for diagnosis, disease staging, operative planning, and follow-up.

Keywords: Diverticulum, multidetector computed tomography, Urinary Bladder Neoplasms

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923