UDC: [616.613-007.64+616.62-003.7]-073.7
BBC: Р414.055-436
Pavlov E.N., Diomidova V.N., Prosyannikov M.Yu., Voitko D.A.
Radiation Diagnosis of the Right Kidney Calyx Diverticulum Complicated by Urolithiasis (clinical case report)
Keywords: renal calyx diverticulum, concrement, radiation diagnosis
Renal calyx diverticulum is a cystic cavity located within the kidney, lined with transitional epithelium from the inside and communicating with the calyx or with the renal pelvis through a narrow neck. Renal calyx diverticulum is a congenital pathology of the kidney, diagnosed mainly by ultrasound, computer or magnetic resonance imaging of the abdominal organs, kidneys and the retroperitoneal space. The purpose of this work was to demonstrate a case from the clinical practice of primary radiation diagnosis and differentiation of diverticulum of the right kidney calyx complicated by urolithiasis in a young woman of reproductive age. Subsequently, a successful surgical excision of the kidney calyx diverticulum was performed. The presented clinical example confirms that the use of modern methods of radiation diagnostics (ultrasound, native and intravenous contrast computed tomography) and implementation of a diagnostic algorithm for suspected diverticula of the renal calyx against the background of urolithiasis made it possible to avoid errors and contributed to the successful recuperation of the patient.
References
- Zamyatnin S.A., Gonchar I.S., Tsygankov A.V. Gnoino–septicheskie oslozhneniya u patsienta sdivertikulom chashechki pochki [Purulent-Septic Complications in Patient with Renal Calyx Diverticulum]. Urologicheskie vedomosti, 2021, vol. 11, no. 1, pp. 87–92.
- Oganisyan A.A., Vrublevskii S.G., Vrublevskii A.S. et al. Klinicheskii sluchai khirurgicheskogo lecheniya chashechkovogo divertikula u rebenka 12 let [A Clinical Case of Surgical Treatment of Calyx Diverticulum in a 12-Year-Old Child]. Detskaya khirurgiya, 2020, vol. 24, no. 6, pp. 413–416. DOI: 10.18821/1560-9510-2020-24-6-413-416.
- Kadyrov Z.A., Demin N.V., Sarukhanyan O.O., Shvelidze M.G. Retroperitoneoskopicheskaya rezektsiya stenki divertikula pochechnoi chashechki u rebenka 8 let [Retroperitoneoscopic Resection of the Calyceal Diverticulum Wall in an 8-year-old Child]. Urologiya, 2018, no. 4, pp. 130–134. DOI: 10.18565/urology.2018.4.130-134.
- Bombiński P., Warchoł S., Brzewski M. et al. Calyceal diverticulum of the kidney – diagnostic imaging dilemma in pediatric patients – case report. Pol J Radiol., 2015, vol. 80, pp. 27–30. DOI: 10.12659/PJR.892053.
- Mustafa M., Hijaz H., Aghbar A. et al. Is the presence of upper tract transitional cell carcinoma in a calyceal diverticulum a risk factor for early metastasis? A case report and review of the literature. SAGE Open Med Case Rep., 2024, vol. 12. DOI: 10.1177/2050313X241288341.
- Pan Y., Chen G., Chen H. et al. The left ureterocele and stone of calyceal diverticulum in the patient with bilateral incomplete duplex kidneys managed by flexible ureteroscopy: a case report and literature review. BMC Urol., 2020, vol. 20(1). DOI: 10.1186/s12894-020-00604-7.
About authors
- Pavlov Evgeny N.
- Chief Urologist of the Ministry of Health of the Chuvash Republic, Urologist of the Department of Urology, Republican Clinical Hospital, Russia, Cheboksary (Pavloven1978@mail.ru; ORCID: https://orcid.org/0009-0004-9347-4105)
- Diomidova Valentina N.
- Doctor of Medical Sciences, Professor, Head of the Department of Propaedeutics of Internal Diseases with a Course of Radiation Diagnostics, Chuvash State University; Head of the Department of Ultrasound Diagnostics, City Clinical Hospital № 1, Russia, Cheboksary (diomidovavn@rambler.ru; ORCID: https://orcid.org/0000-0002-3627-7971)
- Prosyannikov Mikhail Yu.
- Doctor of Medical Sciences, Head of the Department of Urolithiasis, N.A. Lopatkin Research Institute of Urology and Interventional Radiology – Branch of the National Medical Research Center of Radiology of the Ministry of Health of Russia, Russia, Moscow (Prosyannikov@gmail.com; ORCID: https://orcid.org/0000-0003-3635-5244)
- Voitko Dmitry A.
- Candidate of Medical Sciences, Senior Researcher, Department of Urolithiasis, N.A. Lopatkin Research Institute of Urology and Interventional Radiology – Branch of the National Medical Research Center of Radiology of the Ministry of Health of Russia, Russia, Moscow (1987vda@mail.ru; ORCID: https://orcid.org/0000-0003-1292-1651)
Article link
Pavlov E.N., Diomidova V.N., Prosyannikov M.Yu., Voitko D.A. Radiation Diagnosis of the Right Kidney Calyx Diverticulum Complicated by Urolithiasis (clinical case report) [Electronic resource] // Acta medica Eurasica. – 2024. – №4. P. 76-82. – URL: https://acta-medica-eurasica.ru/en/single/2024/4/8/. DOI: 10.47026/2413-4864-2024-4-76-82.