Hutch diverticulum

Case contributed by Dr Antonio Raucci

Presentation

Previous upper urinary tract infection. No ultrasound abnormalities. Vesicoureteral reflux suspected.

Patient Data

Age: 8 years old
Gender: Male
Modality: X-ray

In early and complete filling images acquired at rest, a left first grade VUR was found. The images acquired in voiding reveal Hutch diverticula on both sides of the bladder with an actual fourth grade left VUR. No evidence of posterior urethral valves.

Case Discussion

In 1961, John Hutch described a primary type of bladder diverticula.

The Hutch diverticula are:

  • intermittent, usually appear during voiding,
  • located near the ureterovesical junction,
  • associated with vesicoureteral reflux.

VUR has always to be evaluated both in filling and in voiding.

Ureterocele is a submucosal cystic dilation of the terminal ureter, usually intravesical.

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Case Information

rID: 44594
Case created: 28th Apr 2016
Last edited: 12th May 2017
Inclusion in quiz mode: Included

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