Hutch Diverticulum in a Child: Rare Case Study
https://doi.org/10.15690/vsp.v25i3.3060
Abstract
Background. Congenital bladder diverticulosis is a rare urological abnormality (about 70 cases described). Other comorbid birth defects of neighboring organs and systems allows to diagnosis bladder diverticulum in early childhood. However, this disease remains unrecognized in many children until the development of urinary tract infection, incontinence, or acute urinary retention.
Case description. A child, 1 year 9 months old, was diagnosed with large congenital (primary) Hutch diverticulum. The first diverticulum manifestation was acute urinary retention within 24 hours and anxiety. Moreover, the child had no comorbid malformations of organs and systems. There was no duplication of lower segments of gastrointestinal tract, reproductive system organs, or other urinary tract defects (renal dystopia, dysplasia). There were no signs of vesicoureteral reflux and no fistulas between gastrointestinal and urogenital systems. Video-assisted resection of double bladder segment was performed with favorable outcome.
Conclusion. The latent disease course diagnosed after complication development (acute urinary retention) is described. Video-assisted diverticulum resection is an effective and safe treatment method even after delayed diagnosis of this congenital anomaly.
Supporting agencies: Not specified.
About the Authors
Ekaterina F. Ababsakh
Belgorod State National Research University
Russian Federation
Disclosure of interest:
Russian Federation
Belgorod
Disclosure of interest:
Not declared.
Elena A. Balakireva
Belgorod State National Research University
Russian Federation
Disclosure of interest:
Russian Federation
Belgorod
Disclosure of interest:
Not declared.
Andrey I. Tulinov
Belgorod State National Research University
Russian Federation
Disclosure of interest:
Russian Federation
Belgorod
Disclosure of interest:
Not declared.
Victor M. Gagloev
Belgorod State National Research University
Russian Federation
Disclosure of interest:
Russian Federation
Belgorod
Disclosure of interest:
Not declared.
References
1. Katibov MI, Bogdanov AB. Congenital anomalies of the bladder: world and national data. Experimental and Clinical Urology. 2021;14(2): 74–82. (In Russ). doi: https://doi.org/10.29188/2222-8543-2021-14-2-74-82]
2. Novikova IV, Marakhovskaya EI. A case of giant congenital bladder diverticulum in a second trimester fetus. Prenatal diagnosis. 2019;18(1):91–94. (In Russ). doi: https://doi.org/10.21516/2413-1458-2019-18-1-91-94]
3. Pepelyaeva IM, Kovarskiy SL, Zaharov AI, et al. The combination of distal hypospadias and diverticula of the bladder. Andrology and Genital Surgery. 2024;25(4):129–133. (In Russ). doi: https://doi.org/10.62968/2070-9781-2024-25-4-129-133]
4. Janjua HS, Lam SK, Gupta V, Krishna S. Congenital Anomalies of the kidneys, collecting system, bladder, and urethra. Pediatr Rev. 2019;40(12):619–626. doi: https://doi.org/10.1542/pir.2018-0242
5. Al-Salem AH. An Illustrated Guide to Pediatric Urology. Switzerland: Springer; 2017. pp. 337–379. doi: https://doi.org/10.1007/978-3-319-44182-5
6. Gupta A, Lawrentschuk N, Davis NF. Bladder Diverticula: A Comprehensive Review. Urol Clin North Am. 2020;47(4): 445–453. doi: https://doi.org/10.1016/j.ucl.2020.07.003
7. Protoshak VV, Iglovikov NYu, Kushnirenko NP, et al. Surgical treatment of a true diverticulum of the bladder in a patient with aplasia of the left kidney. Case report. Consilium Medicum. 2024;26(7):452–454. (In Russ). doi: https://doi.org/10.26442/20751753.2024.7.202766]
8. Campbell Walsh Wein Urology. In 3 vol. Partin AW, Dmochowski RR, Kavoussi LR, et al., eds. 12th edn. Elsevier; 2020.
9. Kagantsov IM, Sizonov VV, Dubrov VI, et al. Laparoscopic resection bladder diverticulum in children. Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2019;9(3):51–57. (In Russ). doi: https://doi.org/10.30946/2219-4061-2019-9-3-51-57]
10. Psutka SP, Cendron M. Bladder diverticula in children. J Pediatr Urol. 2013;9(2):129–138. doi: https://doi.org/10.1016/j.jpurol.2012.02.013
11. Zahr RA, Chalhoub K, Ollaik F, Nohra J. Congenital Bladder Diverticulum in Adults: A Case Report and Review of the Literature. Case Rep Urol. 2018:14;2018:9748926. doi: https://doi.org/10.1155/2018/9748926
12. Kozlov YA, Poloyan SS, Sapukhin EV, et al. Robot-assisted bladder diverticulum removal in a 10-year-old child. Russian Journal of Pediatric Surgery. 2023;27(6):431–438. (In Russ). doi: https://doi.org/10.17816/ps661]
13. Gkalonaki I, Anastasakis M, Panteli C, Patoulias I. Hutch diverticulum: from embryology to clinical practice. Folia Med Cracov. 2022;62(4):57–62. doi: https://doi.org/10.24425/fmc.2022.144083
14. Zorkin SN, Dvoryakovskii IV, Tsygina EN, et al. Federal’nye klinicheskie rekomendatsii po okazaniyu meditsinskoi pomoshchi detyam s divertikulom mochevogo puzyrya. Moscow; 2015. 8 p. (In Russ).]
15. Pavlova VS, Kryuchko DS, Podurovskaya YuL, Pekareva NA. Congenital anomalies of the kidney and urinary tract: an analysis of modern diagnostic principles and prognostically significant markers of renal tissue damage. Neonatologiya: novosti, mneniya, obuchenie = Neonatology: News, Opinions, Training. 2018;6(2):78–86. (In Russ).]
16. Lolaeva BM, Dzheliev ISh, Dzutseva MR, et al. Rol’ antenatal’noi ul’trazvukovoi diagnostiki v lechenii vrozhdennoi patologii mochevydelitel’noi sistemy. Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2020;10(3S):96. (In Russ).]
17. Grigoryan AYu, Rudnik SI. Clinical case of diverticula of the bladder. The Vector of Youth Medical Science. 2025;(1):75–83. (In Russ).]
18. Sivakov AA, Protoshchak VV, Gozalishvili SM, et al. Diagnostics and treatment of bladder diverticula. Urology reports (St. Petersburg). 2023;13(2):177–185. (In Russ). doi: https://doi.org/10.17816/uroved508768]
19. Blane CE, Zerin JM, Bloom DA. Bladder diverticula in children. Radiology. 1994;190(3):695–697. doi: https://doi.org/10.1148/radiology.190.3.811561
Review
For citations:
Ababsakh E.F., Balakireva E.A., Tulinov A.I., Gagloev V.M. Hutch Diverticulum in a Child: Rare Case Study. Current Pediatrics. 2026;25(3):189–194. (In Russ.) https://doi.org/10.15690/vsp.v25i3.3060
Views:
70
JATS XML
Email this article 
