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Radiology, Vol 190, 695-697, Copyright © 1994 by Radiological Society of North America

ARTICLES

Bladder diverticula in children

CE Blane, JM Zerin and DA Bloom
Department of Radiology, C. S. Mott Children's Hospital, Ann Arbor, MI 48109-0252.

PURPOSE: The frequency, number, and underlying associations of bladder diverticula were studied in a pediatric population. MATERIALS AND METHODS: Eighty-five children with bladder diverticula (31 girls and 54 boys) were retrospectively identified in a pediatric genitourinary data base of 5,084 children. RESULTS: Primary bladder diverticula were seen in 20 children with vesicoureteral reflux and 14 children without reflux. Fifty-one of the 85 children (60%) had associated neurogenic dysfunction of the bladder (n = 26), outlet obstruction (n = 14), or a syndrome (n = 9) or were postoperative (n = 2). A single child of the 26 with multiple bladder diverticula had no associated condition. CONCLUSION: In this population, bladder diverticula were found in 1.7% of the children. The presence of more than one diverticulum on a side was usually associated with neurogenic dysfunction of the bladder, bladder outlet obstruction, or syndromes such as Williams, Menkes, prune-belly, or Ehlers-Danlos type 9 syndromes.


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