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Rupture of a Calyceal Diverticulum Secondary to Ureteroscopy: A Rare Complication
Tomoya Yamasaki1, Takashi Yoshioka1,2, Masaya Imoto1
1Department of Urology, Abiko Toho Hospital, 1851-1 Abiko, Abiko-shi, Chiba-ken 270-1166, Japan.
Abstract:
We present a case of a 45-year-old female who experienced rupture of a right calyceal diverticulum caused by ureteroscopy. Fifteen hours after the operation, she had severe right flank pain and a high fever (38.9°C). Computed tomography revealed perinephric extravasation of urine and bleeding inside the diverticulum. We diagnosed rupture of a calyceal diverticulum; therefore, we continued antibiotic administration and pain relief medication. She became afebrile on postoperative day 4 and was discharged from the hospital on postoperative day 7. Owing to renal cortex thinning in the diverticula, ureteroscopy is associated with a risk of rupture of calyceal diverticula.
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