Calyceal diverticular stones are rare clinical entities without a clearly defined consensus on the treatment. Treatment indications
include recurrent urinary tract infections, chronic pain and renal impairment. Treatment modality of surgical approach is usually
based on the location of calyceal diverticulum.
A 23-year-old woman was presented with a calyceal diverticular stone of 16.5 mm. Her medical history revealed multiple urinary tract
infections caused by extended spectrum beta-lactamase (ESBL)-producing Escherichia coli of which the stone was predicted to be the
reason. The patient was treated ureterorenoscopically, a decision of which was taken intra-operatively.
In conclusion, insisting on performing nephroscopy following an intra-operative retrograde pyelography revealed no apparent
ostium which could be interpreted as ureterorenoscopic retriaval would fail and development of postoperative bacteremia despite all
precautions taken pre-and intra-operatively were two lessons indicating that all efforts must be exercised to reach the most minimal
invasive method for the treatment of calyceal diverticular stones.
Primary Language | English |
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Subjects | Clinical Sciences |
Journal Section | Case Reports |
Authors | |
Publication Date | October 27, 2021 |
Published in Issue | Year 2021 Volume: 34 Issue: 3 |