Primary Congenital Bladder Diverticula in Children

Un diverticule géant para urétéral chez l’enfant révélé par une masse pelvienne

“…Tous les enfants étaient de sexe masculin 1 . La symptomatologie était dominée par la rétention aiguë d'urine et la présence d'une infection urinaire 1,3 . Dans le cas qui nous occupe, le garçon était âgé de 18 mois.…”

Vaginal mass caused by a lately recognized congenital bladder diverticulum

“…On the other hand, acquired diverticula are usually multiple, and typically found in association with significant bladder trabeculation. 4,8,9 The primary cause in patients with congenital bladder diverticula appears to be a congenital weakness at the level of the ureterovesical junction. 10 As the diverticulum enlarges, it may incorporate the ureteral orifice, thereby displacing the ureteral orifice from the trigone, resulting in the loss of the submucosal tunnel.…”

“…Inguinal hernias containing bladder diverticula have also been reported. 4,12 Hydronephrosis may be related to some causes, such as obstruction of the ureter, an underlying urodynamic abnormality that resulted in the formation of the diverticulum, or vesicoureteral reflux in association with the diverticulum, inflammation; it may also be completely unrelated to the bladder diverticulum. 13 A very high prevalence of ipsilateral vesicoureteral reflux has been noted with congenital bladder diverticula.…”

“…3 The most common presentation of congenital bladder diverticulum is urinary tract infection. 4 Congenital bladder diverticulum may occur in patients with normal voiding dynamics in the absence of bladder outlet obstruction, but secondary bladder outlet obstruction may occur when the diverticulum extends distally towards the bladder neck. 5,6 We report an unusual presentation of congenital bladder diverticulum as a vaginal mass and cause of recurrent urinary tract infection.…”

A case of bladder diverticulum simulating ovarian cyst during pregnancy

“…They are caused by weakening the bladder muscular fibres. 7,8 They usually occurs in males. Congenital bladder diverticulum is sometime associated with congenital connective tissue disorder.…”