title: Hydroureteronephrosis secondary to juxta-uretrovesical junction bladder diverticula.
abstract: Bladder diverticulum is rarely associated to hydroureteronephrosis. We present clinical images of an adult patient with a bladder diverticulum near the ureterovesical junction (UVJ) with secondary obstruction. An 84-year-old man presented with left hydroureteronephrosis and a presumed 25-mm left ureteral stone at UVJ on computed tomography. Cystoscopy revealed a stone located in a bladder diverticulum just cephalad and medial to left ureteral orifice; the patient successfully underwent endoscopic laser cystolithotripsy with resolution of his hydronephrosis. Juxta-UVJ bladder diverticula may cause obstruction of the ipsilateral upper urinary tract.
authors.affiliation: Glickman Urological and Kidney Institute, The Cleveland Clinic, Cleveland, OH, USA.
authors.forename: Fabio Cesar Miranda
authors.initials: FC
authors.lastname: Torricelli
authors.forename: Shih-Chieh Jeff
authors.initials: SC
authors.lastname: Chueh
authors.forename: Shu-Jane
authors.initials: SJ
authors.lastname: Shen
authors.forename: David A
authors.initials: DA
authors.lastname: Levy
authors.forename: Manoj
authors.initials: M
authors.lastname: Monga
mesh_terms: D000369:Aged, 80 and over; D003558:Cystoscopy; D004240:Diverticulum / Q000150:complications / Q000000981:diagnostic imaging*; D006801:Humans; D006869:Hydronephrosis / Q000000981:diagnostic imaging* / Q000209:etiology; D017602:Lithotripsy, Laser; D008297:Male; D014057:Tomography, X-Ray Computed; D001745:Urinary Bladder Diseases / Q000150:complications / Q000000981:diagnostic imaging*; D014545:Urinary Calculi / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy*