Presentation
Recurrent urinary tract infection.
Patient Data
Partially duplicated collecting system of both kidneys. Both moiety ureters joint at the retrovesical region 3 cm above the vesicoureteric junction on the right and at L3-4 level on the left. No renal stone or hydronephrosis.
Urinary bladder diverticulum of right posterolateral location that opens anterolateral to the ureteral orifice in keeping with Hutch diverticulum.
Case Discussion
CT urogram of bifid ureters with a Hutch diverticulum.
Hutch diverticula are congenital bladder diverticula, seen at the vesicoureteric junction, in the absence of posterior urethral valves or neurogenic bladder. They occur almost exclusively in boys with an estimated prevalence of ~2%. Usually located anterolateral to the ureteral orifice and results from a weakness in the detrusor muscle. They are associated with vesico-ureteric reflux and infection.
Unable to process the form. Check for errors and try again.