Presentation
Patient had recurrent urinary tract infections since her early years.
Patient Data
Age: 8 years
Gender: Male
From the case:
Vesicourachal diverticulum




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Retrograde cystography demonstrates midline dilatation of the upper bladder wall, consistent with vesicourachal diverticulum. Significant bilateral vesicoureteral reflux was present. Contrast infusion was also performed through the cystostomy. No communication between the diverticulum and the urachus was observed.
Case Discussion
Vesicourachal diverticulum is a congenital urachal anomaly caused by the absence of obliteration of the urachus. Bladder stasis in the diverticular segment predisposes to recurrent urinary infections.