ABSTRACT
This study investigated a 63-day boy with end stage renal disease and abdominal cysts. The antenatal sonography detected anhydraminos, posterior urethral valve, and cystic dysplastic kidneys. Voiding cystourethrogram revealed two obstructive giant diverticula which at first looked like enlarged renal pelvis. The patient had persistent urinary tract infection and perforation of diverticula. The dialysis was ineffective because of leakage, immeasurable inflow and dwell volume, peritonitis and tunnel infection. As a result, the availability of automated peritoneal dialysis for infants is recommended to reduce morbidity and increasing the survival rate. Nonetheless the giant bladder diverticules might be better managed by diverticulectomy procedure