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Title: Paraostiale blaasdivertikels bij een 65-jarige man
Journal: Tijdschrift voor Geneeskunde
Volume: 65    Issue: 12   Date: 2009   
Pages: 556-558
DOI: 10.2143/TVG.65.12.2000561

Abstract :
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Paraostial bladder diverticula in adults
We present the history of a 65-year-old man with bilateral large paraostial bladder diverticula, which were incidentally visualized on ultrasonography as a cystic pelvic mass extending into the left iliac fossa.
A bladder diverticulum is a protrusion of the bladder mucosa. It may be idiopathic, or arise under increased intravesical pressure in weak areas of the detrusor muscle.
Paraostial bladder diverticula (also known as Hutch diverticula) are usually observed in children without lower urinary tract obstruction, though case reports suggest that giant paraostial diverticula may occur in adults too.
Bladder diverticula may be an incidental finding, or cause micturitional or gastrointestinal complaints, recurring urinary tract infections, carcinoma in situ or compression of surrounding structures. They should be included in the differential diagnosis of a cystic pelvic mass on ultrasonography. Cystography remains the traditional diagnostic procedure, though other radiological techniques, cystoscopy and urodynamic studies may also contribute. Several surgical and non-surgical treatment options exist.

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