An unusual-appearing suburethral diverticulum resulting from trauma: a case report.
BACKGROUND
A suburethral diverticulum is a herniation of the urethra into the potential space between the anterior vaginal wall and the periurethral fascia. We report a case of an unusual-appearing suburethral diverticulum that resulted from repetitive self-induced trauma.


METHODS
A 43-year-old, mentally handicapped woman presented to our clinic for evaluation of a papillary mass projecting from her anterior vaginal wall. Her caretakers reported that the woman traumatized herself periodically to induce vaginal bleeding. After evaluation the mass was excised in the operating room, and the diagnosis of a suburethral diverticulum was confirmed.


CONCLUSIONS
Self-induced trauma as an etiology of suburethral diverticula should be considered in patients with atypical-appearing masses of the anterior vaginal wall.
Erika
E
Schneider
Shireen Madani
SM
Sims
John D
JD
Davis
D000328:Adult; D004240:Diverticulum / Q000209:etiology*; D005260:Female; D006801:Humans; D019989:Persons with Intellectual Disabilities / Q000523:psychology; D016728:Self-Injurious Behavior / Q000150:complications*; D014522:Urethral Diseases / Q000209:etiology*; D014592:Uterine Hemorrhage / Q000209:etiology; D014621:Vagina / Q000293:injuries*; D014623:Vaginal Diseases / Q000209:etiology / Q000473:pathology / Q000601:surgery