Patient Information: One of the diseases of the urinary system is bladder diverticulum. Bladder diverticula are seen in different sizes, individual or multiple. These lesions may be congenital and create symptoms during childhood, which are usually diagnosed during this period, or may be acquired, resulting from narrowing of the urinary tract from the bladder (for example, prostate hypertrophy). Occasionally, diverticula are diagnosed in abdominal and pelvic imaging procedures, without causing a problem for the patient.
The case reported is a bloody diverticulum presented as pelvic mass and not detected before surgery. The patient suffered from abdominal pain and did not describe the symptoms of urinary tract infection. In the imaging procedures, the pelvic mass has been reported without communication with the bladder, and only during laparoscopy, we noticed the association of mass with the bladder, and the patient was subjected to diverticulectomy.
Conclusion: Diseases do not necessarily reveal themselves with the typical symptoms mentioned in the texts, and the important point is that paraclinical methods are not always accurate and recognizable. Laparoscopy can be considered as a precise diagnostic method and fully reveals the organs of the abdomen and pelvis.