Advertisement

Pediatric Radiology

, Volume 7, Issue 1, pp 22–28 | Cite as

Diverticula of the bladder in children

  • Maria Ines Boechat
  • R. L. Lebowitz
Originals

Abstract

Diverticula of the bladder in infants and children are common and occur when vesical mucosa protrudes through a congenital defect in the muscle wall. Most are primary. Diverticula secondary to obstruction or neurogenic dysfunction are not as common as was once thought. The majority of diverticula are asymptomatic but they can cause vesico-ureteral reflux, obstruction or residual urine. Diverticula also occur after bladder surgery and in association with some syndromes. Voiding cystourethrography is the most reliable method for detection.

Key Words

VCUG Bladder Diverticula Reflux 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Amar, A. D.: Vesicoureteral reflux associated with congenital bladder diverticulum in boys and young mon. J. Urol.107, 966 (1972)PubMedGoogle Scholar
  2. 2.
    Babbitt, D. P., Dobbs, J., Good, T.: Multiple bladder diverticula in Williams' syndrome. Presented at the 19th annual meeting of the Society for Pediatric Radiology, Washington D. C., September 19–20, 1976Google Scholar
  3. 3.
    Barret, D. H., Malek, R. S., Kelalis, P. P.: Observations on vesical diverticulum in childhood. J. Urol.116, 234 (1976)PubMedGoogle Scholar
  4. 4.
    Bauer, S. B., Retik, A. B.: Bladder diverticula in infants and children. Urology3, 712 (1974)PubMedGoogle Scholar
  5. 5.
    Blichert-Toft, M., Neilsen, O. V.: Congenital patent urachus and acquired variants. Surg. Gynecol. Obstet.137, 51 (1973)PubMedGoogle Scholar
  6. 6.
    Cacciarelli, A., Lucas, B., McAlister, W. H.: Multichambered bladder anomalies. Am. J. Roentgenol Radium Ther. Nucl. Med.126, 642 (1976)Google Scholar
  7. 7.
    Colodny, A. H.: An improved surgical technique for intravesical resection of bladder diverticula. Br. J. Urol.47, 399 (1973)Google Scholar
  8. 8.
    Colodny, A. H., Lebowitz, R. L.: Abnormalities of the bladder and prostate In: Mustard, W. T., et al.: Pediatric Surgery, Chicago: Year Book Medical Publishers, Inc. 1978 (in press)Google Scholar
  9. 9.
    Cremin, B. J., Furston, M. R., Aaronson, I. A.: The intraureteric diverticulum: A manifestation of ureterocele intussusception. Pediatr. Radiol.6, 92 (1977)PubMedGoogle Scholar
  10. 10.
    Crissey, M., Colodny, A. H., Lebowitz, R. L. Vesical diverticula causing severe hydronephrosis in the neonatal period. Presented at the Annual Meeting of the New England Section of the American Urological Association, October 17–23, 1976, Palma de Mallorca, Spain, and at the Annual Meeting of the Section on Urology, American Academy of Pediatrics, New York, November 6–7, 1977Google Scholar
  11. 11.
    Dodge, J. A., Shillito, J., Jr.: Ehlers-Danlos syndrome associated with acquired encephalocele. J. Pediatr.66, 1061 (1965)PubMedGoogle Scholar
  12. 12.
    Duckett, J. W.: The prune belly syndrome. In: P. P. Kelalis, L. R. King: Clinical Pediatric Urology, 615–635. Philadelphia: W. B. Saunders Company 1975Google Scholar
  13. 13.
    Forsythe, I. W., Smith, B. T.: Diverticulum of the bladder in children — A study of 13 cases. Pediatrics24, 322 (1959)PubMedGoogle Scholar
  14. 14.
    Goltz, R. W., Hult, A. M.: Generalized elastosis (cutis laxa) and Ehlers-Danlos syndrome (cutis hyperelastica): A comparative clinical and laboratorial study. South. Med. J.58, 848 (1965)Google Scholar
  15. 15.
    Harcke, H. T., Capitanio, M. A., Grover, W. D., Valdes-Dapena, M.: Bladder diverticula and Menkes' syndrome. Radiology124, 459 (1976)Google Scholar
  16. 16.
    Hutch, J. A.: Saccule formation at the ureterovesical junction in smooth walled bladders. J. Urol.86, 390 (1961)PubMedGoogle Scholar
  17. 17.
    Kelalis, P. P.: Bladder. In: P. P. Kelalis, L. R. King: Clinical Pediatric Urology, 282–291, Philadelphia: W. B. Saunders Company 1976Google Scholar
  18. 18.
    King, L. R.: Comments on paper by Barrett [3]. J. Urol.116, 235 (1976)Google Scholar
  19. 19.
    Kretschmer, H. L.: Diverticulum of the bladder in infancy and childhood. Am. J. Dis. Child.48, 842 (1934)Google Scholar
  20. 20.
    Lang, E.: Double contrast gas barium cystography. Radiology107, 769 (1969)Google Scholar
  21. 21.
    Lebowitz, R. L., Griscom, N. T.: Neonatal hydronephrosis: 146 cases. Radiol. Clin. North Am.15, 49 (1977)PubMedGoogle Scholar
  22. 22.
    MacKeller, A., Stephens, F. D.: Vesical diverticula in children. Austr. N. Z. J. Surg.30, 20 (1960)Google Scholar
  23. 23.
    McKusic, V. A.: The Ehlers-Danlos syndrome. In: Heritable Disorders of Connective Tissue, ed., 4th 292–371. St. Louis: CV Mosby Company 1972Google Scholar
  24. 24.
    Miller, A.: The etiology and treatment of diverticulum of the bladder. Br. J. Urol.30, 43 (1958)PubMedGoogle Scholar
  25. 25.
    Politano, V. A., Leadbetter, W. F.: An operative technique for the correction of vesicoureteral reflux. J. Urol.79, 932 (1958)PubMedGoogle Scholar
  26. 26.
    Schiff, M., Lytton, B.: Congenital diverticulum of the bladder. J. Urol.104, 111 (1970)PubMedGoogle Scholar
  27. 27.
    Shaikh, B. N., Malamet, M.: Pseudodiverticulum of the urinary bladder. Radiology96, 417 (1970)PubMedGoogle Scholar
  28. 28.
    Stephens, F. D.: The normal and abnormal ureterovesical hiatus. Presented at the Annual Meeting of the Sective on Urology, American Academy of Pediatrics, New York November 6–7, 1977Google Scholar
  29. 29.
    Wheeler, E. M., Roberts, P. F.: Menkes' steely hair syndrome. Arch. Dis. Child.51, 269 (1976)PubMedGoogle Scholar
  30. 30.
    Williams, D. I.: Bladder Disorders: Diverticula. In: D. I. Williams: Pediatric Urology, 213–227. London: Buttersworth and Co. 1958Google Scholar
  31. 31.
    Williams, D. I., Fay, R., Lillie, J. G.: The function radiology of ectopic ureterocele. Br. J. Urol.44, 417 (1972)PubMedGoogle Scholar
  32. 32.
    Zelis, E. G., Roberts, D. C.: Ehlers Danlos Syndrome with a hernia. Arch. Dermatol.96, 540 (1967)PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1978

Authors and Affiliations

  • Maria Ines Boechat
    • 1
    • 2
  • R. L. Lebowitz
    • 1
    • 2
  1. 1.Department of RadiologyThe Children's Hospital Medical CenterBostonUSA
  2. 2.Harvard Medical SchoolBostonUSA

Personalised recommendations