title: Giant Intradiverticular Bladder Tumor.
abstract: BACKGROUND Intradiverticular bladder tumors are rare. This renders diagnosis of an intradiverticular bladder tumor difficult. Imaging plays a vital role in achieving the diagnosis, and subsequently staging of the disease. CASE REPORT A 74-year-old male presented to our center with a few months history of constitutional symptoms. Upon further history, he reported hematuria two months prior to presentation, which stopped temporarily, only to recur a few days prior to coming to the hospital. The patient admitted to having lower urinary tract symptoms. However, there was no dysuria, no sandy urine, and no fever. Palpation of his abdomen revealed a vague mass at the suprapubic region, which was non tender. In view of his history and the clinical examination findings, an ultrasound of the abdomen and computed tomography (CT) was arranged. These investigations revealed a giant tumor that seemed to be arising from a bladder diverticulum, with a mass effect and hydronephrosis. He later underwent operative intervention. CONCLUSIONS Intradiverticular bladder tumors may present a challenge to the treating physician in an atypical presentation; thus requiring a high index of suspicion and knowledge of tumor pathophysiology. As illustrated in our case, CT with its wide availability and multiplanar imaging capabilities offers a useful means for diagnosis, disease staging, operative planning, and follow-up.
authors.affiliation: Department of Imaging, University Putra Malaysia, Serdang, Malaysia.
authors.forename: Mohamad Syafeeq Faeez
authors.initials: MS
authors.lastname: Md Noh
authors.affiliation: Department of Diagnostic Imaging, Hospital Serdang, Serdang, Malaysia.
authors.forename: Ahmad Fuad
authors.initials: AF
authors.lastname: Abdul Aziz
authors.affiliation: Urology Unit, Department of Surgery, University Putra Malaysia, Serdang, Malaysia.
authors.forename: Khairul Asri
authors.initials: KA
authors.lastname: Mohd Ghani
authors.affiliation: Urology Unit, Department of Surgery , Faculty of Medicine and Health Sciences, Universiti Putra Malaysia , Serdang, Malaysia.
authors.forename: Christopher
authors.initials: C
authors.lastname: Lee Kheng Siang
authors.affiliation: Department of Pathology, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.
authors.forename: Rosna
authors.initials: R
authors.lastname: Yunus
authors.affiliation: Department of Diagnostic Imaging, Hospital Serdang, Serdang, Malaysia.
authors.forename: Mubarak
authors.initials: M
authors.lastname: Mohd Yusof
mesh_terms: D000368:Aged; D002277:Carcinoma / Q000000981:diagnostic imaging* / Q000473:pathology* / Q000601:surgery; D004240:Diverticulum; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed; D047368:Tumor Burden; D014463:Ultrasonography; D001743:Urinary Bladder / Q000002:abnormalities*; D001749:Urinary Bladder Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology* / Q000601:surgery