Детская хирургия. Журнал им. Ю.Ф. Исакова. 2020; 24: 413-416
Клинический случай хирургического лечения чашечкового дивертикула у ребенка 12 лет
https://doi.org/10.18821/1560-9510-2020-24-6-413-416Аннотация
Список литературы
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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.
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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.
Russian Journal of Pediatric Surgery. 2020; 24: 413-416
A clinical case of surgical treatment of calyx diverticulum in a 12-year-old child
https://doi.org/10.18821/1560-9510-2020-24-6-413-416Abstract
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.
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. Lopatkin N.A., Mazo E.B. Prostaya kista pochki. M.: 1982.
3. Vrublevskaya E.N., Kovarskii S.L., Vrublevskii S.G. Vybor khirurgicheskoi taktiki lecheniya patsientov s solitarnymi kortikal'nymi kistoznymi porazheniyami pochek. Vestnik Rossiiskogo gosudarstvennogo meditsinskogo universiteta. 2010; 4: 25-9.
4. Vrublevskaya E.N., Kovarskii S.L., Vrublevskii S.G. Khirurgicheskoe lechenie divertikula pochechnoi chashechki u devochki 5 let. Detskaya khirurgiya. 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.
