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

封面


如何引用文章

全文:

详细

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.

作者简介

A. Oganisyan

St. Luka’s Clinical Research Center for Children

编辑信件的主要联系方式.
Email: oganisyanaa@yandex.ru

Anna А. Oganisyan, MD, pediatric surgeon at the surgical department

119620 Moscow

俄罗斯联邦

S. 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 俄罗斯联邦

A. Vrublevskij

St. Luka’s Clinical Research Center for Children

Email: fake@neicon.ru
119620 Moscow 俄罗斯联邦

R. Valiev

St. Luka’s Clinical Research Center for Children

Email: fake@neicon.ru
119620 Moscow 俄罗斯联邦

I. Ahmetzhanov

St. Luka’s Clinical Research Center for Children

Email: fake@neicon.ru
119620 Moscow 俄罗斯联邦

P. Romanov

St. Luka’s Clinical Research Center for Children

Email: fake@neicon.ru
119620 Moscow 俄罗斯联邦

E. Kirienko

St. Luka’s Clinical Research Center for Children

Email: fake@neicon.ru
119620 Moscow 俄罗斯联邦

E. 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 俄罗斯联邦

参考

  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.

补充文件

附件文件
动作
1. JATS XML

版权所有 © , 2020

##common.cookie##