A clinical case of surgical treatment of calyx diverticulum in a 12-year-old child

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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.

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

Россия

S. 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

References

  1. Hanna R.M., Dahniya M.H. Aspiration and sclerotherapy of symptomatic simple renal cysts: value of two injections of a sclerosing agent. AJR. 1996; 167: 781-3.
  2. Лопаткин Н.А., Мазо Е.Б. Простая киста почки. М.: 1982.
  3. Врублевская Е.Н., Коварский С.Л., Врублевский С.Г. Выбор хирургической тактики лечения пациентов с солитарными кортикальными кистозными поражениями почек. Вестник Российского государственного медицинского университета. 2010; 4: 25-9.
  4. Врублевская Е.Н., Коварский С.Л., Врублевский С.Г. Хирургическое лечение дивертикула почечной чашечки у девочки 5 лет. Детская хирургия. 2010; 1: 51-3.
  5. Timmons J.W. Jr, Malek R.S., Hattery R.R., et al. Caliceal diverticulum. J Urol. 1975; 114:6–9.
  6. Wulfsohn M. Pyelocaliceal diverticula. J Urol. 1980; 123: 1.
  7. Patodia M., Sinha R.J., et al. Management of renal caliceal diverticular stones: A decade of experience. Urol Ann. 2017; 9(2): 145–9.
  8. Siegel M.J., McAlister W.H. Calyceal diverticula in children: unusual features and complications. Radiology. 1979; 131: 79–82.

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