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Calyceal diverticula in children: imaging findings and presentations

Y Ochoa Santiago1, C Sangüesa Nebot1, S Picó Aliaga1

  • 1Área de Imagen Médica, Servicio de Radiología, Sección de Pediatría, Hospital Universitario y Politécnico La Fe, Valencia, España; Servicio Urología Pediátrica, Hospital Universitario y Politécnico La Fe, Valencia, España.

Radiologia
|May 1, 2018
PubMed

Insights

Pediatric calyceal diverticula, rare cystic renal lesions, are often missed on ultrasound. Definitive diagnosis requires CT or MRI, guiding appropriate management for symptomatic cases.

Area of Science:

  • Pediatric Urology
  • Diagnostic Imaging
  • Renal Pathology

Background:

  • Calyceal diverticula are rare cystic formations within the renal parenchyma.
  • These lesions are infrequently diagnosed in pediatric patients and can be symptomatic.

Purpose of the Study:

  • To illustrate the varied presentations of calyceal diverticula in children.
  • To highlight ultrasonographic findings suggestive of calyceal diverticula.
  • To detail CT and MRI findings for definitive diagnosis and discuss management.

Main Methods:

  • Review of pediatric cases with calyceal diverticula.
  • Analysis of ultrasonographic, CT, and MRI imaging findings.
  • Discussion of differential diagnoses and treatment strategies.

Main Results:

  • Calyceal diverticula are often misdiagnosed as simple renal cysts on initial ultrasonography.
  • Excretory-phase CT and MRI are crucial for confirming the diagnosis.
  • Accurate diagnosis is essential for appropriate patient management.

Conclusions:

  • Early suspicion of calyceal diverticula based on imaging is vital.
  • CT and MRI provide definitive diagnostic criteria for pediatric calyceal diverticula.
  • Timely diagnosis and management improve outcomes for symptomatic pediatric patients.

Keywords:
Computed tomographyDiverticulumDivertículoEcografíaKidneyRiñónTomografía computarizadaTracto urinarioUltrasoundUrinary tract

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