Diverticulum of the bladder simulating ovarian cyst: pitfalls in the differential diagnosis

Authors

  • A J Kruse GROW, School for Oncology and Developmental Biology, University of Maastricht/ Maastricht University Medical Center, Department of Obstetrics and Gynaecology
  • F.C.H. Bakers Radiology, Maastricht University Medical Center, Maastricht, The Netherlands
  • R.F.P.M Kruitwagen GROW, School for Oncology and Developmental Biology, University of Maastricht/ Maastricht University Medical Center, Department of Obstetrics and Gynaecology

DOI:

https://doi.org/10.5334/jbr-btr.675

Abstract

A 69-year-old Para 2 attended the outpatient department for an ultrasound scan of the pelvis. Her medical history revealed 3 lower urinary tract infections in the preceding months. Vaginal ultrasound of the pelvis showed a multilocular cyst measuring 17 x 17 x 17 cm, apparently originating from one of the adnexa and ascites. Coronal (A) and transverse CT scan (B) of the pelvis demonstrates a cystic mass, initially interpreted as an adnexal mass, suspicious for ovarian malignancy. There were septations within the mass (arrows). Retrospectively, this scan shows the bladder neck (triangles), and bladder diverticulum (A) connected to the bladder (B).

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Published

2011-05-15

Issue

Section

Images in Clinical Radiology