Hutch diverticulum

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

Recurrent urinary tract infection.

Patient Data

Age: 10 years
Gender: Male

Voiding cystourethrogram

Fluoroscopy

A right-sided posterolateral urinary bladder diverticulum opens near the right vesicoureteric junction, along with subtle bilateral vesicoureteric reflux.

No calculi, ureterocele or wall thickening.

Case Discussion

This case demonstrates a typical Hutch diverticulum, a congenital bladder diverticulum seen near the vesicoureteric junction, resulting from a weakness in the detrusor muscle. It may cause urinary tract infection, incontinence, urinary retention, and vesicoureteric reflux.

Bilateral Hutch diverticula can cause Mickey Mouse appearance.

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