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Urinary bladder diverticula

Case contributed by Varun Babu
Diagnosis certain

Presentation

Recurrent lower urinary tract infection.

Patient Data

Age: 80 years
Gender: Male
ct

Multiple outpouchings are seen arising from urinary bladder wall. Associated prostatomegaly with median lobe hypertophy narrowing bladder outlet.  Secondary back pressure changes seen in both kidneys. 

Case Discussion

Multiple bladder outpouchings are an important cause for retained urine post voiding. The harboring of urine is invitation of repetitive urinary tract infections and even stone formation. The developing bladder outlet obstruction secondary to prostatomegaly just compounds the back pressure changes. 

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