• Anil Kumar Sah, Bipin Maharjan, Mahesh Bahadur Adhikari, Reena Rana, Sunila Basnet, Rajesh Panta, and Gopi Aryal.
• Department of Urology, Nepal Mediciti Hospital, Bhainsepati, Lalitpur Nepal.
• JNMA J Nepal Med Assoc. 2021 Oct 15; 59 (242): 1069-1071.

AbstractHerniation of bladder mucosa through the bladder wall muscle layer is known as bladder diverticulum. The incidence of bladder diverticulum is 1.7. About 0.8 to 10% of the urinary bladder diverticulum develops carcinoma. Transitional cell carcinoma is the most common. Painless hematuria is the most common clinical presentation. Different imaging modalities along with cystoscopy are the key to accurate diagnosis and staging. High grade multifocal urothelial carcinoma in the bladder diverticulum is better managed by radical cystectomy and standard pelvic lymph node dissection with an ileal conduit. Here we report a case of a 66-year old gentleman of high grade multifocal urothelial carcinoma in bladder diverticulum managed with radical cystectomy and standard pelvic lymph node dissection with an ileal conduit. Such cases have been addressed adequately in the literature, but we did not find such cases from our country.

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