case_images: PMC10656586_01
case_images: PMC10656586_02
case_images: A) axial cross-section of non-contrast abdominal computerizing tomography-scan showing a bladder diverticulum with vesicolithiasis inside; B) sagittal cross-section of non-contrast abdominal computerizing tomography-scan
case_images: PAMJ-45-181-g001.jpg
case_images: PMC10656586_02_PAMJ-45-181-g001.jpg
case_images: F1
case_images: Diagnostic assessment: non-contrast abdominal computed tomography (CT) scan revealed a severe bladder wall thickness, bladder diverticulum in the left posterior wall of the bladder with a size of 6x4x3.8 cm, oval-shaped intra-diverticular stone size of 3x2x2.9 cm, and prostate enlarged with a volume 34 ml (Figure 1A, Figure 1B).
case_images: A) the urethra lumen before the urethrotomy and transurethral resection; B) after the urethrotomy and transurethral resection, the lumen looks wider
case_images: PAMJ-45-181-g002.jpg
case_images: PMC10656586_02_PAMJ-45-181-g002.jpg
case_images: F2
case_images: After the urethroscope entered the urethra, there was a lumen narrowing inside the bladder neck, which inhibited the urethroscope from entering the bladder (Figure 2 A). Then, the urethrotomy procedure and transurethral resection were performed to scrape the wall of the bladder neck in order to widen the lumen and remove the obstruction (Figure 2 B).
case_images: A) oval-shaped vesicolithiasis seen from the mouth of the diverticulum; B) the imaging of the diverticular stone after its removal from the bladder diverticulum
case_images: PAMJ-45-181-g003.jpg
case_images: PMC10656586_02_PAMJ-45-181-g003.jpg
case_images: F3
case_images: An oval-shaped stone with an irregular surface in size of 4x3x3 cm, with a weight of 160 gr was obtained (Figure 3 B).