Purulent-septic complications in patient with renal calyx diverticulum

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.

Keywords

calyx diverticulum / pyelonephritis / kidney resection / bacteriotoxic shock / urosepsis / paranephritis

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] Krambeck A.E., Lingeman J.E. Percutaneous management of caliceal diverticuli // J Endourol. 2009. Vol. 23, No. 10. P. 1723–1729. DOI: 10.1089/end.2009.1541

[3] 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.

[4] Mullett R., Belfield J.C., Vinjamuri S. Calyceal diverticulum – a mimic of different pathologies on multiple imaging modalities // J Radiol Case Rep. 2012. Vol. 6, No. 9. P. 10–17. DOI: 10.3941/jrcr.v6i9.1123

[5] 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.)

[6] Протощак В.В., Паронников М.В., Сиваков А.А., и др. Минимально инвазивное лечение множественных камней дивертикула чашечки правой почки // Военно-медицинский журнал. 2019. Т. 340, № 7. С. 74–75.

[7] 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

[8] Stunell H., McNeill G., Browne R.F., et al. The imaging appearances of calyceal diverticula complicated by uroliathasis // Br J Radiol. 2010. Vol. 83, No. 994. P. 888–894. DOI: 10.1259/bjr/22591022

[9] 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.)

[10] Акрамов Н.Р., Байбиков Р.С. Однотроакарный ретроперитонеоскопический доступ в лечении дивертикула чашечки почки в детском возрасте // Экспериментальная и клиническая урология. 2015. № 2. С. 119–123.

[11] Waingankar N, Hayek S, Smith AD, et al. Calyceal diverticula: a comprehensive review. Rev Urol. 2014;16(1):29–43.

[12] Waingankar N., Hayek S., Smith A.D., et al. Calyceal diverticula: a comprehensive review // Rev Urol. 2014. Vol. 16, No. 1. P. 29–43.

[13] 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

[14] Кадыров З.А., Демин Н.В., Саруханян О.О., и др. Ретроперинеоскопическая резекция стенки дивертикула почечной чашечки у ребенка 8 лет // Урология. 2018. № 4. С. 130–134. DOI: 10.18565/urology.2018.4.130-134

[15] 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

[16] Yamasaki T., Yoshioka T., Imoto M., et al. Rupture of a Calyceal Diverticulum Secondary to Ureteroscopy: A Rare Complication // Case Rep Urol. 2018. Vol. 2018. ID9285671. DOI: 10.1155/2018/9285671

[17] 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

[18] 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. Vol. 5, No. 1. P. 10–12. DOI: 10.1089/cren.2018.0081

[19] 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.

[20] Kaviani A., Hosseini J., Lotfi B., et al. Disfiguring abdominal mass due to a huge extraordinary calyceal diverticulum // Urol J. 2010. Vol. 7, No. 4. P. 284–286.

[21] 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

[22] 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. Vol. 33. 101287. DOI: 10.1016/j.eucr.2020.101287

[23] 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.

[24] Ng W.M. Retrograde intrarenal surgery in atretic calyceal diverticular stone, a case report // Urol Case Rep. 2019. Vol. 24. 100840. DOI: 10.1016/j.eucr.2019.100840.

RIGHTS & PERMISSIONS

Eco-Vector