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Two Unusual Presentations of Bladder Diverticula

Jirschele, Kelly E. D. DO; Nguyen, Aimee MD, MS; Sand, Peter K. MD; Botros, Sylvia M. MD, MS

doi: 10.1097/AOG.0b013e31821fc3ec
Case Reports

BACKGROUND: Bladder diverticula are protrusions of the mucosal and submucosal layers of the bladder through the muscular wall of the bladder. We discuss the identification and management of two unusual presentations of bladder diverticula.

CASE: In two cases of bladder diverticula, one presented as pelvic organ prolapse and the other largely replaced the anterior cervix and was incidentally encountered during a loop electrosurgical excision procedure. Both were discovered intraoperatively and repaired surgically.

CONCLUSION: Alternatives to pelvic organ prolapse must be in the differential diagnosis when evaluating a patient with complaints of vaginal bulging.

Two unusual presentations of bladder diverticula demonstrate that alternatives to pelvic organ prolapse should be considered when evaluating patients presenting with complaints of bulging.

From Saint Joseph Hospital, Resurrection Health Care, Chicago, Illinois; North Dallas Urogynecology, Dallas, Texas; and the Evanston Continence Center, Division of Urogynecology, NorthShore University, University of Chicago Pritzker School of Medicine, Chicago, Illinois.

See related editorial on page 411.

The authors thank both patients for their permission to discuss their cases and Alessandra Secco for her help with research and manuscript preparation.

Corresponding author: Saint Joseph Hospital, Resurrection Health Care, 2900 N Lake Shore Drive, Chicago, IL 60657; e-mail:

Financial Disclosure The authors did not report any potential conflicts of interest.

© 2011 The American College of Obstetricians and Gynecologists