EURORAD ESR

Case 14720

Hutch Diverticulum - A rare presentation in an adult

Author(s)
S M Mazhar , Deepa S N

Radiance Diagnostics, Goa, India.
 
Patient
male, 66 year(s)
 
 
  • Figure 1
    Ultrasonography
     

    Left kidney shows focal areas of scarring and mild increased echogenecity.Cortico-medullary differentiation is maintained.

     
    Area of Interest: Kidney; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Pathology;

    The bladder USG shows bilateral fluid filled outpouchings at the bladder base at the vesico-ureteric junctions.

     
    Area of Interest: Urinary Tract / Bladder; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Congenital; Diverticula;

    Note the fluid filled outpouching at the right vesico-ureteric junction.The lower end of the right ureter is dilated and is seen to drain into the outpouching.

     
    Area of Interest: Urinary Tract / Bladder; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Congenital; Diverticula;
     
     
  • Figure 2
    CT scan
     

    Well defined bilateral outpouchings showing fluid density within noted at the bladder base at the vesico-uretric junctions.

     
    Area of Interest: Urinary Tract / Bladder; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Congenital; Dilatation; Diverticula;

    Hydronephrosis and hydroureter upto the lower end on the right side.The lower end of the ureter is seen to open into the outpouching.

     
    Area of Interest: Kidney; Urinary Tract / Bladder; Imaging Technique: CT; Image manipulation / Reconstruction; Procedure: Diagnostic procedure; Special Focus: Congenital; Dilatation; Diverticula;

    Scarred left kidney.The left ureter is seen to drain into the outpouching.Bladder wall thickening is also noted.

     
    Area of Interest: Urinary Tract / Bladder; Imaging Technique: CT; Image manipulation / Reconstruction; Procedure: Diagnostic procedure; Special Focus: Dilatation; Diverticula; Obstruction / Occlusion;
     
     
Left kidney shows focal areas of scarring and mild increased echogenecity.Cortico-medullary differentiation is maintained.
 
The bladder USG shows bilateral fluid filled outpouchings at the bladder base at the vesico-ureteric junctions.
 
Note the fluid filled outpouching at the right vesico-ureteric junction.The lower end of the right ureter is dilated and is seen to drain into the outpouching.
 
Well defined bilateral outpouchings showing fluid density within noted at the bladder base at the vesico-uretric junctions.
 
Hydronephrosis and hydroureter upto the lower end on the right side.The lower end of the ureter is seen to open into the outpouching.
 
Scarred left kidney.The left ureter is seen to drain into the outpouching.Bladder wall thickening is also noted.
 
 
 
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