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Órgano Oficial del Hospital Ángeles Health System

2026, Number 4

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Acta Med 2026; 24 (4)

Right pararenal abscess associated with incomplete calyceal and coral diverticular lithiasis resolved by percutaneous drainage and percutaneous nephrolithotomy in a second stage

Muñoz LEG, Guzmán AOD, Arias PJJG, Valdez CJA, Peña MIA, Pérez IDO

Language: Spanish
References: 7
Page: 457-459
PDF size: 781.96 Kb.


ABSTRACT

Introduction: complications of calyceal diverticular lithiasis are rare and often require multiple interventions for resolution. Case presentation: a 44-year-old female presented with right flank pain, fever, and chills. Contrast-enhanced CT urography demonstrated a right pararenal abscess in association with ipsilateral calyceal lithiasis. Image-guided percutaneous drainage of the abscess and percutaneous nephrolithotomy in a second stage were performed. Conclusion: the management of calyceal diverticular lithiasis complicated by renal abscess is not standardized. Percutaneous nephrolithotomy has shown favorable outcomes in its treatment.


REFERENCES

  1. Waingankar N, Hayek S, Smith AD, Okeke Z. Calyceal diverticula:a comprehensive review. Rev Urol. 2014; 16 (1): 29-43.

  2. Parkhomenko E, Tran T, Thai J, Blum K, Gupta M. Percutaneousmanagement of stone containing calyceal diverticula: associatedfactors and outcomes. J Urol. 2017; 198 (4): 864-868. doi: 10.1016/j.juro.2017.05.007.

  3. Srivastava A, Chipde SS, Mandhani A, Kapoor R, Ansari MS.Percutaneous management of renal caliceal diverticular stones: tenyearexperience of a tertiary care center with different techniques todeal with diverticula after stone extraction. Indian J Urol. 2013; 29(4): 273-276. doi: 10.4103/0970-1591.120091.

  4. Gauhar V, Traxer O, Woo SJQ, Fong KY, Ragoori D, Wani A et al.PCNL vs RIRS in management of stones in calyceal diverticulum:outcomes from a global multicentre match paired study that reflectsreal world practice. World J Urol. 2023; 41 (11): 2897-2904. doi:10.1007/s00345-023-04650-2.

  5. Sekiguchi M, Hasegawa Y, Kinomoto S, Sago H. Clinical manifestationof a calyceal diverticular abscess in a pregnant woman. Case RepObstet Gynecol. 2014; 2014: 975071. doi: 10.1155/2014/975071.

  6. Ngene MA, Habibi H, Lesane S, Amadi AC, Taormina MA,Hohlastos E. Infected calyceal diverticulum in pregnancy: a rarecase. Radiol Case Rep. 2024; 19 (11): 5404-5409. doi: 10.1016/j.radcr.2024.08.021.

  7. Zhao PT. Percutaneous management of calyceal diverticulum: NYUcase of the month, September 2020. Rev Urol. 2020; 22 (3): 135-137.




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