Diverticular carcinoma of the urinary bladder: diagnosis and treatment problems. A case report.
OBJECTIVE
To report a case of a primary carcinoma arising in a vesical diverticulum.


METHODS
A 59-year-old male patient presented with painless macrohematuria. A primary carcinoma arising in a vesical diverticulum was detected with cystoscopy and confirmed with rectal endosonography and computer tomography. and radical cystoprostatovesiculectomy with ileal conduit was performed. Chemotherapy with cisplatin and methotrexate followed. The patient died of an acute cardiac event in the 4th postoperative month.


CONCLUSIONS
This report illustrates that in a case of a closed opening of a bladder diverticulum, rectal endosonography and computer tomography do provide additional support for making a diagnosis of a hidden tumor in the diverticulum.
Haecker
Axel
A
Department of Urology, University Hospital Mannheim, Germany. axel.haecker@chir.ma.uni-heidelberg.de
Riedasch
G
G
Langbein
S
S
Alken
Peter
P
Michel
Maurice Stephan
MS
D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D002945:Cisplatin / Q000008:administration & dosage; D003131:Combined Modality Therapy; D004240:Diverticulum / Q000150:complications / Q000175:diagnosis*; D017809:Fatal Outcome; D005858:Germany; D006801:Humans; D008297:Male; D008727:Methotrexate / Q000008:administration & dosage; D008875:Middle Aged; D016896:Treatment Outcome; D001749:Urinary Bladder Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*
D002945:Cisplatin; D008727:Methotrexate