Demonstration of Double Bladder Diverticula on Bone Scan

Abstract

A 75-year-old man with suspected prostate cancer underwent a 99mTc-MDP bone scan to exclude the possibility of bone metastasis. Scans revealed areas of increased tracer uptake in a symmetric distribution on both sides of the pelvis. Further SPECT/CT imaging showed focal 99mTc-MDP accumulation within 2 cystic lesions on both sides of the bladder. Subsequent x-ray cystography showed contrast agent filling within both cystic lesions, which suggested double bladder diverticula. Eventually, these 2 cystic lesions were confirmed by surgery and pathology as double congenital bladder diverticula.

Vertical Appearance of Urinary Bladder on Bone Scintigraphy Might Not Always Suggest Adjacent Pathology

“…This case demonstrated that vertical appearance of urinary bladder on bone scintigraphy might not always suggest adjacent pathology. Using SPECT/CT imaging to investigate the abnormal bladder shape could be helpful for accurate image interpretation 9–13 …”

“…Using SPECT/CT imaging to investigate the abnormal bladder shape could be helpful for accurate image interpretation. [9][10][11][12][13]…”