Purulent-septic complications in patient with renal calyx diverticulum

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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.

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作者简介

Sergey Zamyatnin

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

编辑信件的主要联系方式.
Email: elysium2000@mail.ru
SPIN 代码: 7024-0062

Doctor of Medical Sciences, Professor, urologist, Chief physician

俄罗斯联邦, 194044, Saint Petersburg, Academician Lebedev street, 6; 188760, Leningrad region, Priozersk, Kalinina street, 35

Irina Gonchar

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

Email: bonechka@mail.ru

Cand. Sci. (Med.)

俄罗斯联邦, 194044, Saint Petersburg, Academician Lebedev street, 6

Andrey Tsygankov

Priozersk interdistrict hospital

Email: dolceman@yandex.ru

Urologist, Head of the Admission Department

俄罗斯联邦, 188760, Leningrad region, Priozersk, Kalinina street, 35

参考

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  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.)
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  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
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  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.
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1. JATS XML
2. Fig. 1. Multispiral computed tomogram of the kidneys and retroperitoneal space

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

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版权所有 © Zamyatnin S., Gonchar I., Tsygankov A., 2021



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