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Published on: October 12, 2017
Hutch diverticulum revealed by intermittent inguinal mass and associated vesico-ureteral reflux in a child
Ahmed Chaabouni1, Khouloud Ouertani1, Wafa Elleuch2
1Urology Department, Habib Bourguiba Hospital, Sfax, Tunisia.
Insights
Congenital bladder diverticula, like Hutch diverticulum, are rare pediatric conditions. Surgical repair of a giant Hutch diverticulum with ureteral reimplantation successfully treated a young boy with reflux and inguinal mass.
Area of Science:
- Pediatric Urology
- Congenital Abnormalities
- Surgical Case Reports
Background:
- Congenital bladder diverticula are rare, stemming from detrusor muscle defects.
- Hutch diverticulum, a paraureteral outpouching, often coexists with vesicoureteral reflux.
Abstract:
Congenital bladder diverticula are rare in children and result from a developmental defect of the detrusor muscle, allowing mucosal outpouching through the bladder wall. Hutch diverticulum is an uncommon congenital paraureteral diverticulum frequently associated with vesicoureteral reflux. We report the case of a 7-year-old boy born to second-degree consanguineous parents who presented with an intermittent right inguinal mass and decreased urine output. Imaging revealed a giant Hutch diverticulum with grade II reflux. Surgical treatment consisting of diverticulectomy and intravesical ureteral reimplantation using the Politano-Leadbetter technique led to a favorable outcome.
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