Carcinoma Urotelial com Origem em Divertículo de Hutch

Hutch diverticula are rare congenital bladder outpouchings, typically asymptomatic but occasionally presenting with symptoms such as recurrent urinary tract infections or vesicoureteral reflux. Intra-diverticular tumours are uncommon and may pose diagnostic challenges. Early detection through imaging is crucial for effective management and improved outcomes. We describe the case of a 50-year-old patient with painless haematuria. Imaging revealed a bladder diverticulum adjacent to the left ureterovesical junction, containing a heterogeneous contrast-enhancing solid lesion. The patient underwent diverticulectomy, and histopathological analysis confirmed the diagnosis of papillary urothelial carcinoma. Adjuvant chemotherapy was initiated following surgery.