Huge Bladder Diverticulum Masquerading as Ovarian Tumour in a Postmenopausal Woman: A Case Report at a Private Facility in Akure

Background: Huge bladder diverticulum can mimick ovarian tumour most especially in postmenopausal women
thus leading to a presentation at a gynaecological clinic.
Case Reported: We report a case of a 58-year old P7+0 (6Alive) postmenopausal woman who presented at the
gynaecological unit of a private facility in Akure, Ondo State with progressive abdominal swelling of 5years
duration. She was earlier seen by a physician who requested for an Abdominal CT scan. She then presented with
the report which did not comment on the ovaries. Considering the peak incidence of invasive epithelial ovarian
cancer which usually occurs at 50-60 years of age and the small risk of false negative result in imaging study, an
abdomino-pelvic ultrasound was ordered which suggested a huge bladder diverticulum. The case was co-managed
with the gynaecological and urology team and she subsequently had exploratory laparotomy and open
diverticulectomy with a successful outcome.
Conclusion: Huge bladder diverticulum in women can present to gynaecological clinics most especially in the
postmenopausal period, a high index of suspicion coupled with necessary investigations will be required to
effectively manage.