Purulent-septic complications in patient with renal calyx diverticulum

Cover Page


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

The calyx diverticulum is a cavity lined with urothelium that communicates through a narrow canal with the renal calyx-pelvis system. Most calyx diverticula are 0.5 to 2.0 cm in diameter and require surgical treatment exclusively for clinical manifestations of associated diseases. The most common complications of this nosology include urolithiasis and recurrent urinary tract infections. This article presents a rare case of a large diverticulum of the middle group of the calyces of the left kidney. The dimensions of the cavity filled with urine were 10 cm, which resulted in recurrent pyelonephritis, paranephritis and urosepsis.

Full Text

Restricted Access

About the authors

Sergey A. Zamyatnin

Military Medical Academy named after SM Kirov of Ministry of Defence of Russian Federation; Priozersk interdistrict hospital

Author for correspondence.
Email: elysium2000@mail.ru
SPIN-code: 7024-0062

Doctor of Medical Sciences, Professor, urologist, Chief physician

Russian Federation, 194044, Saint Petersburg, Academician Lebedev street, 6; 188760, Leningrad region, Priozersk, Kalinina street, 35

Irina S. Gonchar

Military Medical Academy named after SM Kirov of Ministry of Defence of Russian Federation

Email: bonechka@mail.ru

Cand. Sci. (Med.)

Russian Federation, 194044, Saint Petersburg, Academician Lebedev street, 6

Andrey V. Tsygankov

Priozersk interdistrict hospital

Email: dolceman@yandex.ru

Urologist, Head of the Admission Department

Russian Federation, 188760, Leningrad region, Priozersk, Kalinina street, 35

References

  1. Krambeck AE, Lingeman JE. Percutaneous management of caliceal diverticuli. J Endourol. 2009;23(10):1723–1729. doi: 10.1089/end.2009.1541
  2. Mullett R, Belfield JC, Vinjamuri S. Calyceal diverticulum – a mimic of different pathologies on multiple imaging modalities. J Radiol Case Rep. 2012;6(9):10–17. doi: 10.3941/jrcr.v6i9.1123.
  3. Protoshchak VV, Paronnikov MV, Sivakov AA, et al. Minimally invasive treatmentof multi ple stones of the diverticulum of the calyx of the right kidney. Military Medical Journal. 2019;340(7):74–75. (In Russ.)
  4. Stunell H, McNeill G, Browne RF, et al. The imaging appearances of calyceal diverticula complicated by uroliathasis. Br J Radiol. 2010;83(994):888–894. doi: 10.1259/bjr/22591022
  5. Akramov NR, Baybikov RS. Single troakar retroperitoneoscopic access in kidney’s calyceal diverticulum treatment in childhood. Experimental and clinical urology. 2015;(2):119–123. (In Russ.)
  6. Waingankar N, Hayek S, Smith AD, et al. Calyceal diverticula: a comprehensive review. Rev Urol. 2014;16(1):29–43.
  7. Kadyrov ZA, Demin NV, Sarukhanyan OO, et al. Retroperitoneoscopic resection of the calyceal diverticulum wall in an 8-year-old child. Urologiia. 2018;(4):130–134. (In Russ.) doi: 10.18565/urology.2018.4.130-134
  8. Yamasaki T, Yoshioka T, Imoto M, et al. Rupture of a Calyceal Diverticulum Secondary to Ureteroscopy: A Rare Complication. Case Rep Urol. 2018;2018:9285671. doi: 10.1155/2018/9285671
  9. Inui K, Murata M, Nakagawa Y, et al. Spontaneous Passage of Left Ureteral Multiple Calculi from Caliceal Diverticular Calculi: A Case Report. J Endourol Case Rep. 2019;5(1):10–12. doi: 10.1089/cren.2018.0081
  10. Kaviani A, Hosseini J, Lotfi B, et al. Disfiguring abdominal mass due to a huge extraordinary calyceal diverticulum. Urol J. 2010;7(4):284–286.
  11. Riggs A, Kaefer M. Treatment of a high output nephrocutaneous urine leak following treatment of a giant calyceal diverticulum in a child. Urol Case Rep. 2020;33:101287. doi: 10.1016/j.eucr.2020.101287
  12. Ng WM. Retrograde intrarenal surgery in atretic calyceal diverticular stone, a case report. Urol Case Rep. 2019;24:100840. doi: 10.1016/j.eucr.2019.100840.

Supplementary files

Supplementary Files
Action
1. JATS XML
2. Fig. 1. Multispiral computed tomogram of the kidneys and retroperitoneal space

Download (316KB)
3. Fig. 2. Multispiral computed tomogram of the kidneys (3D reconstruction). Large diverticulum of the calyx of the left kidney

Download (257KB)

Copyright (c) 2021 Eco-Vector



СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ №ФС77-65570 от 04 мая 2016 г.


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies