Bladder Diverticulum Coexisting with Bladder Wall Thickening and a Small Prostatic CystClinical HistoryA 78-year old gentleman presented with a recent history of urinary incontinence with some microscopic haematuria and pain in the lower abdomen. An ultrasound of the renal tract was requested to further investigate.Case DescriptionUltrasound revealed a 3 mm defect in the posterolateral wall of the urinary bladder with a small diverticulum. The bladder wall was irregular in outline and has an increased thickness of up to 7 mm in AP calibre. Posterior to the bladder, the prostate contained a 20 mm simple cyst.Diagnosis/ Discussion/ Treatment/ Follow upBladder diverticulum occurs when there is a breach in the bladder wall due to a loss of wall integrity and weakness of the bladder muscles. Bladder diverticulum can be single or multiple and are commonly age-related.The term microscopic haematuria, also called non-visible haematuria, is commonly used when the presence of blood cells within the urine is only detectable via laboratory testing.SonogramsB-mode of the urinary bladder showing the tiny defect (top arrow) and the diverticulum (bottom arrow)Bladder wall thickening measuring 7 mm in AP calibreLongitudinal view of the bladder showing the diverticulum (three arrows) and a small simple cyst in the prostate (single arrow)CDI showing no flow in the prostate simple cystPublished on: November 6, 2024
