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PROGRESS IN PEDIATRICS |

DIVERTICULUM OF THE BLADDER IN INFANCY AND IN CHILDHOOD

HERMAN L. KRETSCHMER, M.D.
Am J Dis Child. 1934;48(4):842-857. doi:10.1001/archpedi.1934.01960170132012.
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Vesical diverticula, although not mentioned in the standard textbooks on pediatrics, constitute a definite clinical entity in childhood which should be borne in mind in cases in which infants and children present urinary symptoms of obscure origin and when there are such evidences of obstruction of the neck of the bladder as the presence of a suprapubic tumor, difficult urination or dribbling.

REVIEW OF THE LITERATURE  The selection of cases from the literature has been somewhat difficult owing to the fact that prior to the present century writers did not use the term "diverticulum" with any degree of uniformity, but employed such terms as "sacs," "bladder compartment" and "double bladder." Furthermore, it is evident that many of these were instances of patent urachus, abscess pockets, encysted calculi or definite developmental anomalies of the lower urinary tract, and not diverticula as conceived today. Moreover, a large number of the early cases

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