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Bilateral Hutch diverticula presenting as “Mickey Mouse bladder” in a child: A case report

Year: 2026

Type: article

Abstract: Congenital bladder diverticula are rare in children. The Mickey Mouse bladder refers to a specific radiological sign that appears in bilateral paraureteral diverticula. We describe an 11-year-old boy presented with lower urinary symptoms. Imaging studies showed bilateral Hutch diverticula without vesicoureteral reflux. Urodynamic studies showed detrusor overactivity with bladder-sphincter dyssynergia. The patient was managed conservatively with clean intermittent catheterization and anticholinergic medication, and he had a significant clinical response without surgery. This case emphasizes the role of functional studies and supports conservative management in cases where bladder dysfunction is the major underlying problem.

Source: Urology Case Reports

DOI: 10.1016/j.eucr.2026.103456