PMC9895020_01
The patient's bulging abdomen (A). Pathological overdistension of the bladder with a large diverticulum (23 cm in diameter); the arrows indicate the origin of the diverticulum from the bladder (B, C). The diverticulum originates on the bladder right wall reaching the liver cranially with lateral dislocation of the intestinal loops; the arrow indicates the contrast medium in the bladder (F). The walls of the bladder appear regular without pathological thickening or endoluminal formations (C). Both kidneys show normal size and position, with normal width and structure of the renal parenchyma (D). Renal pelvis and calyces are normal and ureters are not dilated (E). The cyst in the left scrotal area shows no communication with the bladder (E arrow)
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Fig1
After examining the scrotal mass the urologist's attention was drawn to the patient's bulging abdomen (Fig. 1A). A CT scan of the abdomen demonstrated pathological overdistension of the bladder with a large diverticulum (23 cm in diameter) (Fig. 1B-C) that originated on the right wall reaching the liver cranially with lateral dislocation of the intestinal loops (Fig. 1F). The walls of the bladder appeared regular without pathological thickening or endoluminal formations (Fig. 1C). Both kidneys were of normal size, structure and position (Fig. 1D). The renal pelvis and calyces were normal and the ureters were not dilated (Fig. 1E). The cyst in the left scrotal area showed no apparent communication with the bladder (Fig. 1E arrow).