A bladder diverticulum is diagnosed when herniated bladder mucosa forms an outpouching from the bladder. Bladder diverticula are uncommon and are significantly more common in males. The following case presents a patient with an undiagnosed bladder diverticulum which was incidentally perforated during foley catheter placement for a repeat cesarean section. The diagnosis can be difficult in those who are asymptomatic and lack risk factors, such as the following patient.
Conflict(s) of Interest
References with DOI
1. Pierretti R. Congenital bladder diverticula in children. Journal of Pediatric Surgery. 1999;3(34):468-473. https://doi.org/10.1016/s0022-3468(99)90501-8
2. Shakeri S, et al. The incidence of diverticula of urinary bladder in patients with benign prostatic hypertrophy and the comparison between cystoscopy and cystography in detecting bladder diverticula. Iranian Red Crescent Medical Journal. 2007;9(1):36-41.
3. Garat J, et al. Primary congenital bladder diverticula in children. Urology. 2007;5(70):984-988. https://doi.org/10.1016/j.urology.2007.06.1108
4. Blaivas J, Chughtai B, Tsui JF, et al. Management of bladder diverticula. Current Bladder Dysfunction Report. 2011;6(198). https://doi.org/10.1007/s11884-011-0108-5
5. Eyraud R, Laydner H, Autorino R, et al. Robot assisted laparoscopic bladder diverticulectomy. Current Urology Report. 2013;14(46). https://doi.org/10.1007/s11934-012-0290-9
6. Johnsen N et al. Evaluating the role of operative repair of extraperitoneal bladder rupture following blunt pelvic trauma. The Journal of Urology. 2016;195(3):661-665. https://doi.org/10.1016/j.juro.2015.08.081
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
Roy, A. Allison; Bou Zgheib, Nadim; and Assaley, Joseph
"Case Report: An Undiagnosed Bladder Diverticulum Resulting in Foley Catheter Perforation During Cesarean Section,"
Marshall Journal of Medicine:
3, Article 4.
Available at: https://mds.marshall.edu/mjm/vol3/iss3/4