Pediatric renal calyceal diverticular calculi: Diagnostic and management by percutaneous nephrolithotomy "case
Nangue Ngansob Loïs Landry1, Pankaj Wadhwa2, Meera Luthra1
1Department of Pediatric Surgery, Medanta, The Medicity Hospital, Gurugram, Sector-38, Gurugram, Haryana, 122 001, India.
Insights
Pediatric renal calyceal diverticula with calculus can be effectively managed using mini-percutaneous nephrolithotomy. This minimally invasive surgery offers a safe and successful treatment option for children experiencing symptomatic calyceal diverticular calculi.
Area of Science:
- Pediatric Urology
- Nephrolithiasis Management
- Minimally Invasive Surgery
Background:
- Renal calyceal diverticula are uncommon in pediatric patients.
- Calculus formation within these diverticula presents a management challenge.
- Treatment strategies for pediatric calyceal diverticular calculi are debated.
Abstract:
Renal calyceal diverticula are rarely diagnosed in children. Calculus formation within the diverticulum is a significant complication and its management in children remains controversial. We report our experience with 1 case, managed with minimally invasive surgery. We report one pediatric case who presented with flank pain. Physical examination, biochemistry and urinalysis were normal. Contrast-enhanced computed tomography revealed calyceal diverticulum type II with secondary diverticular calculus. The patient underwent mini-percutaneous nephrolithotomy and recovered uneventfully. Percutaneous nephrolithotomy is safe and effective, and it can be offered as a first line therapy for symptomatic calyceal diverticular calculi in children.
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