A 6-year-old boy is brought to the pediatric clinic by his parents due to frequent urinary tract infections (UTIs) and discomfort during urination. The parents report that the child often complains of lower abdominal pain, especially after urinating, and has noticed an increased frequency of urination over the past few months. The boy’s symptoms have not improved with standard antibiotic treatment for UTIs.

On examination, the child appears generally healthy but is mildly tender over the lower abdomen. A renal ultrasound is performed, revealing a small outpouching in the wall of the bladder, consistent with a congenital bladder diverticulum. This condition, where a portion of the bladder wall bulges outward, can cause urinary stasis, leading to recurrent UTIs.

The boy is referred to a pediatric urologist for further evaluation and management. Treatment options, including surgical correction of the diverticulum, are discussed to prevent further UTIs and alleviate symptoms. The parents are educated about the condition, and a follow-up plan is established to monitor the boy’s progress.