A case of bladder diverticulum simulating ovarian cyst during pregnancy

Anjali Rani, M. Matah

Abstract


33 year old female G3P2+0 at 32 weeks of gestation was admitted in labour room with the complain of pain abdomen and difficulty in passing urine. On examination vitals were stable. Abdominal examination there was cystic swelling in suprapubic region extending up to umbilical region. Uterus was 32 week size. Report of USG from peripheral centre showed ovarian cyst. We made a provisional diagnosis of twisted ovarian cyst. Exploratory laparotomy was done there was no ovarian cyst and bladder diverticulum was present. Urologist called and first he aspirated fluid and it was urine. Then while separating the swelling from uterus bladder opened and resected the diverticulum. Bladder was sutured. Abdomen was closed. Patient went into preterm labour and delivered vaginally single live female of 2.1 kg weight. Postoperative period was uneventful. Patient was lost in follow up.


Keywords


Bladder diverticulum, Pregnancy, Ovarian cyst

Full Text:

PDF

References


Weingardt JP, Nemcek AA Jr, Miljkovic SC. The diverticular jet effect: color Doppler differentiation of bladder diverticulum from other pelvic fluid collections. J Clin Ultrasound. 1994;22:397-400.

Levine D, Filly RA. Using color Doppler jets to differentiate a pelvic cyst from a bladder diverticulum. J Ultrasound Med. 1994 Jul;13(7):575-7.

Farhi J, Dicker D, Goldman JA. Giant diverticulum of bladder simulating ovarian cyst. Int J Gynaecol Obstet. 1991;36:55-7.

Wang CW, Chang YL, Horng SG, Chueh HY, Soong YK, Chiu HC. Pitfalls in the differential diagnosis of a pelvic cyst: lessons from a postmenopausal woman with bladder diverticulum. Int J Clin Pract. 2004 Sep;58(9):894-6.

Kruse A J, Bakers FC, Kruitwagen RF. Diverticulum of the bladder simulating ovarian cyst: Pitfalls in the differential diagnosis. JBR-BTR. 2011 Sept-Oct;94(5):300.

Soo-Cheen Ng, Sung-Lang Chen, Gin-Den Chen. Bladder diverticula in a young woman: congenital or acquired? Incont Pelvic Floor Dysfunct. 2011;5(2):43-5.

Garat JM, Angerri O, Caffaratti J, Moscatiello P, Villavicencio H. Primary congenital bladder diverticula in children. Urology. 2007;70:984-8.

Walsh PC. Diverticulum of bladder. In: Meredith F. Campbell, Patrick C. Walsh, Alan B. Retik, eds. Campbellā€™s Urology. 8th ed. Philadelphia: Saunders; 2002: 2188-2189.