Hutch diverticulum

Case contributed by Sepehr Haghighi
Diagnosis certain

Presentation

Recurrent urinary tract infection.

Patient Data

Age: 16 months
Gender: Male

Cystogram

Fluoroscopy

Large diverticular outpouching posterior to the bladder at the level of UVJ which is full of contrast material.

mri

There is large diverticular outpouching of the bladder at the level of left ureter orifice associated with left vesicoureteral reflux and mild left hydronephrosis.

Case Discussion

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 approximately 2% 1.

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