Hutch Diverticulum Revealed by Intermittent Inguinal Mass and Associated Vesico-ureteral Reflux in a Child

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.