A hidden urinary bladder diverticular tumour: A diagnostic challenge.
Siti Kamariah CHE MOHAMED 1, Mohd Nazli KAMARULZAMAN 2, Hamid GHAZALI 3
1 Department of Radiology, and 2 Urology Unit, Department of Surgery, Kulliyyah of Medicine, International Islamic University Malaysia, Pahang, Malaysia, 3 Department of Urology, Hospital Tengku Ampuan Afzan, Pahang, Malaysia
ABSTRACT
Urinary bladder diverticulum tumour is rare. It has been estimated that only 2.6% of all bladder diverticulum develop malignancy and most were diagnosed late. Delay in diagnosis can be due to presence of intra-diverticular stone which can compress and hide any evidence of mucosal changes. We report the case of a 53-year-old man who presented with multiple lower urinary tract stone including in the urethra, bladder and bladder diverticulum. Serial investigations before a diagnosis of a bladder diverticulum adenocarcinoma were made. The tumour was hidden behind a stone.
Keywords: Bladder diverticular stone, bladder diverticular tumor, urolithiasis, bladder neoplasm
Correspondence author: SK CHE MOHAMED, Department of Radiology, Kulliyyah of Medicine International Islamic University Malaysia, Jalan Hospital Campus 25100 Kuantan, Pahang, Malaysia
Tel: 6095163799
E mail: skamariah08@gmail.com
Brunei Int Med J. 2015; 11 (4): 219-223