We report a rare case of spontaneous rupture of a large bladder diverticulum that was diagnosed accurately and promptly using abdominal ultrasonography. Instillation of saline and air into the bladder on ultrasonography demonstrated jetting from the wall of the bladder diverticulum. We recommend this useful imaging technique, which can be performed easily in the emergency room, in all suspected cases of bladder rupture.

We report a case of retroperitoneal seminoma with simultaneous occurrence in the prostate. The testes were normal on physical and ultrasound examination. In this case a multicentric occurrence of seminoma was considered rather than metastasis from the retroperitoneum to the prostate. Systemic chemotherapy with vincristine, peplomycin and cisplatin was effective for the prostatic as well as the retroperitoneal lesion.

Idiopathic female pseudohermaphroditism associated with a vaginal urethra, prominent clitoris and an accessory phallic urethra is a rare syndrome, with no apparent cause to account for the masculinization of the genitalia and exhibit of similar characteristic features. We report such a case and review the pertinent literature.