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A clinical case of surgical treatment of calyx diverticulum in a 12-year-old child
- Authors: Oganisyan A.A.1, Vrublevskij S.G.1,2, Vrublevskij A.S.1, Valiev R.Y.1, Ahmetzhanov I.S.1, Romanov P.A.1, Kirienko E.A.1, Vrublevskaya E.N.1,2
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Affiliations:
- St. Luka’s Clinical Research Center for Children
- N.I. Pirogov Russian National Research Medical University
- Issue: Vol 24, No 6 (2020)
- Pages: 413-416
- Section: CASE REPORT
- Submitted: 18.02.2021
- Accepted: 18.02.2021
- Published: 18.12.2020
- URL: https://jps-nmp.ru/jour/article/view/12
- DOI: https://doi.org/10.18821/1560-9510-2020-24-6-413-416
- ID: 12
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Abstract
Introduction. Calyx diverticulum is a rather rare pathology in pediatric practice. In the structure of cystic kidney malformations, it amounts up to 12-15%. In most cases, the disease is asymptomatic. To make a differential diagnostics and to define a technique for surgical treatment, computed tomography or magnetic resonance imaging are used. Currently, puncture-sclerotic method and endosurgical (laparoscopic, retroperitoneoscopic) one can be successfully applied. The main purpose of this clinical observation is to illustrate that little-traumatic laparoscopic access to the kidney and plasma ablation of the diverticulum epithelial lining can be used to have successful outcomes.
Material and methods. The authors describe a clinical case of renal cavities in a 12-year-old boy - calyx diverticulum of the right kidney and a cyst of the left kidney - which were successfully treated with a combined approach when puncture and laparoscopic corrections were used depending on lesion’s chracteriatics.
Conclusion. A rational approach and substantiation of the applied surgical technique with plasma ablation of calyx diverticulum cavity allowed to obtain good results - cavity size was reduced and renal parenchyma was preserved what is important for future organ functioning.
Keywords
About the authors
A. A. Oganisyan
St. Luka’s Clinical Research Center for Children
Author for correspondence.
Email: oganisyanaa@yandex.ru
Anna А. Oganisyan, MD, pediatric surgeon at the surgical department
119620 Moscow
РоссияS. G. Vrublevskij
St. Luka’s Clinical Research Center for Children;N.I. Pirogov Russian National Research Medical University
Email: fake@neicon.ru
119620 Moscow;
117997 Moscow Россия
A. S. Vrublevskij
St. Luka’s Clinical Research Center for Children
Email: fake@neicon.ru
119620 Moscow Россия
R. Yu. Valiev
St. Luka’s Clinical Research Center for Children
Email: fake@neicon.ru
119620 Moscow Россия
I. S. Ahmetzhanov
St. Luka’s Clinical Research Center for Children
Email: fake@neicon.ru
119620 Moscow Россия
P. A. Romanov
St. Luka’s Clinical Research Center for Children
Email: fake@neicon.ru
119620 Moscow Россия
E. A. Kirienko
St. Luka’s Clinical Research Center for Children
Email: fake@neicon.ru
119620 Moscow Россия
E. N. Vrublevskaya
St. Luka’s Clinical Research Center for Children;N.I. Pirogov Russian National Research Medical University
Email: fake@neicon.ru
119620 Moscow;
117997 Moscow Россия
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