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Caliceal diverticulum

J W Timmons, R S Malek, R R Hattery

    The Journal of Urology
    |July 1, 1975
    PubMed
    Summary
    This summary is machine-generated.

    Caliceal diverticula, often linked to recurrent infections or stones, appear to have an embryologic origin. Surgical intervention for these conditions is less frequently needed than previously reported.

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    Area of Science:

    • Urology
    • Nephrology
    • Embryology

    Background:

    • Caliceal diverticula are rare renal malformations.
    • Their etiology and clinical significance are not fully understood.

    Purpose of the Study:

    • To investigate the incidence, clinical presentation, and etiology of caliceal diverticula.
    • To evaluate the necessity of surgical intervention for caliceal diverticula.

    Main Methods:

    • Retrospective review of 72 consecutive patients with caliceal diverticula diagnosed via excretory urography.
    • Analysis of patient history, presence of stones, and radiographic evidence of pyelonephritis.

    Main Results:

    • An incidence of 4.5 per 1,000 excretory urograms was observed.

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  • 39% of patients had recurrent infections, and 39% had stone-containing diverticula.
  • Only 17% showed radiographic evidence of pyelonephritis, with similar incidence in children and adults.
  • Conclusions:

    • The findings support an embryologic etiology for caliceal diverticula.
    • The need for surgical intervention appears to be lower than suggested in existing literature.