Hutch diverticulum

Case contributed by Heba Majdi Abu khalaf
Diagnosis almost certain

Presentation

Recurrent urinary tract infections. To rule out vesicoureteral reflux.

Patient Data

Age: 5 years
Gender: Male
Fluoroscopy
AP/Full
bladder
AP
AP
AP/Empty
bladder
This study is a stack
AP
series
RAO
LAO
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Info

Bilateral contrast-filled outpouching from the posteroinferior wall of the urinary bladder bilaterally at the vesicoureteric junctions giving the ‘Micky mouse ears’ appearance. They retain contrast after voiding.

Case Discussion

The ‘Micky mouse ears’ appearance suggests Hutch diverticula.

Hutch diverticula known as ‘bladder ears’ occur at the ureterovesical junction and are due to periureteric diverticula. They are often associated with VUR and usually disappear with age.

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