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Related Concept Videos

Diverticular Disease of the Colon01:27

Diverticular Disease of the Colon

Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
Urinary Bladder01:23

Urinary Bladder

The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
Gallbladder01:17

Gallbladder

The gallbladder is a small, pear-shaped organ that plays a crucial role in our digestive system. Measuring about 10 cm in length, it is comparable in size to a kiwi fruit and is located in a hollow area on the lower surface of the liver. The gallbladder's primary function is to store and concentrate bile, a fluid produced by the liver that aids in digestion.
The gallbladder's anatomy consists of three regions: the fundus, body, and neck. Extending from the neck, the cystic duct joins the common...
Imaging Studies VI: Voiding Cystourethrography and Cystography01:22

Imaging Studies VI: Voiding Cystourethrography and Cystography

Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
Appendicitis01:19

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
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Anatomy of the Genitourinary System II: Bladder and Urethra

The lower urinary system consists of the urinary bladder and urethra, which are essential in storing and expelling urine from the body. Together with the internal and external sphincters, these structures work together to regulate urination effectively.Anatomy of the BladderThe urinary bladder is a muscular, stretchable organ behind the pubic bone and in front of the rectum. In females, the bladder is positioned anterior to the vagina and inferior to the uterus, while in males, it is located...

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Related Experiment Videos

Giant bladder diverticulum.

Antonio Pio Tortorelli1, Fausto Rosa, Valerio Papa

  • 1Digestive Surgery, "A. Gemelli" Hospital, Catholic University, Largo A. Gemelli, Rome, Italy.

Updates in Surgery
|January 14, 2011
PubMed
Summary
This summary is machine-generated.

A large bladder diverticulum, mimicking a retroperitoneal mass, was diagnosed in an elderly man with prostatic hypertrophy. Surgical resection resolved the condition, highlighting the importance of considering bladder issues in complex pelvic masses.

Related Experiment Videos

Area of Science:

  • Urology
  • Diagnostic Imaging
  • Surgical Oncology

Background:

  • Bladder diverticula, particularly large ones, can present as complex pelvic masses, leading to diagnostic challenges.
  • Prostatic hypertrophy is a common cause of bladder outlet obstruction and can contribute to diverticulum formation.

Observation:

  • A 73-year-old male presented with abdominal distension and leg paresthesia.
  • Imaging revealed a large retroperitoneal cystic mass that resolved with bladder catheterization.
  • Retrograde cystography confirmed a bladder diverticulum secondary to severe prostatic hypertrophy.

Findings:

  • The patient underwent successful open diverticulectomy and endoscopic prostatic resection.
  • The mass was definitively diagnosed as a large bladder diverticulum.

Implications:

  • This case underscores the need to consider bladder diverticula in the differential diagnosis of unexplained pelvic masses.
  • Prompt diagnosis and management of symptomatic bladder diverticula are crucial, with surgical intervention often necessary for large or complicated cases.
  • Awareness of potential tumor harboring within large diverticula is important for surgical planning.