Calyceal Diverticulum: A Case Report

Calyceal diverticulums are often benign and asymptomatic. On the other hand, some interventions are necessary in several symptoms. Radiological imaging is performed to made dianoses, but somehow can pose misinterpretation of radiological imaging results and mistreatment from the urologist. To present a case of a calyceal diverticulum treated with open diverticulectomy. This study reported a case of a calyceal diverticulum in a 30-year-old man with an almost 1-month history of left flank pain. The patient undergone several imaging diagnostics, before finally diagnosed calyceal diverticulum with a stone inside it. The patient had underwent open diverticulectomy. Initially, cystoscopy and insertion of Double J Stent (DJ Stent) were done, and then using the lumbotomy approach the incision that had been made. This case demonstrated the use of imaging combined with urologist interpretation and surgical management which was successfully treated the patient’s clinical problems.

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Re: Controversial Cases in Endourology: An 18-Year-Old Man with 2-Month History of Left Flank Pain (J Endourol 2000;14:233–237)

Journal of Endourology ◽

10.1089/end.2000.14.463 ◽

2000 ◽

Vol 14 (5) ◽

pp. 463-463

Author(s):

Larry C. Munch

Keyword(s):

Flank Pain ◽

Left Flank ◽

History Of ◽

Left Flank Pain

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Case 7.29

Mayo Clinic Body MRI Case Review ◽

10.1093/med/9780199915705.003.0190 ◽

2014 ◽

pp. 361-362

Author(s):

Christine U. Lee ◽

James F. Glockner

Keyword(s):

Signal Intensity ◽

Flank Pain ◽

Bleeding Diathesis ◽

Diffusion Weighted Image ◽

Axial Diffusion ◽

Weighted Image ◽

Left Flank ◽

History Of ◽

Adc Map ◽

Left Flank Pain

72-year-old man with left flank pain and a history of bleeding diathesis, for which he takes warfarin Axial FSE T2-weighted image (Figure 7.29.1) reveals a posterior left perinephric mass with heterogeneous increased signal intensity. Axial diffusion- weighted image (b=800 s/mm2) and the corresponding ADC map (...

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Case 7.4

Mayo Clinic Body MRI Case Review ◽

10.1093/med/9780199915705.003.0165 ◽

2014 ◽

pp. 314-315

Author(s):

Christine U. Lee ◽

James F. Glockner

Keyword(s):

Posterior Margin ◽

Renal Stone ◽

Left Kidney ◽

Flank Pain ◽

Left Flank ◽

Necrotizing Glomerulonephritis ◽

History Of ◽

Left Flank Pain ◽

Noncontrast Enhanced ◽

New Onset

64-year-old man with a history of necrotizing glomerulonephritis who has new-onset left flank pain Axial images from noncontrast-enhanced renal stone protocol CT (Figure 7.4.1) show hyperdense subcapsular material along the posterior margin of the left kidney. Axial fat-suppressed FSE T2-weighted images (...

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Successful non-operative management of extensive pneumomediastinum and pneumoperitoneum

International Journal of Case Reports ◽

10.28933/ijcr-2020-10-0705 ◽

2020 ◽

pp. 171

Author(s):

Keyword(s):

Continuous Positive Airway Pressure ◽

Airway Pressure ◽

Positive Airway Pressure ◽

Flank Pain ◽

Pressure Therapy ◽

Left Flank ◽

Free Air ◽

Operative Exploration ◽

History Of ◽

Left Flank Pain

Background: A 70 year old male presented with acute left flank pain and was found to have extensive free air in both the mediastinal and peritoneal cavities. He was managed successfully without surgery. Case: A 70 year old male presented with left flank pain that began an hour prior to arrival. He had a history of obstructive sleep apnea that had been treated with continuous positive airway pressure therapy (CPAP) at home for many years. His vital signs, physical exam, and laboratory testing were all unremarkable. However, imaging findings were impressive for massive pneumoperitoneum and pneumomediastinum. Given his clinical stability, operative exploration was deferred, and he was admitted for observation and bowel rest. He was discharged less than 48 hours after admission without incident. His history of home CPAP therapy was the only attributable cause for the ominous findings seen on his imaging. Recognizing that this was a case of benign free air saved this patient from the morbidity and potential for death that comes with an unnecessary operative exploration. Conclusion: Continuous positive airway pressure therapy can result in benign free air within the mediastinal and peritoneal cavities. Evaluating the complete clinical scenario will allow for recognition of similar cases in which these grim findings are not indicative of surgical disease, thus avoiding the iatrogenesis of unnecessary surgery.

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Ureteritis cystica associated with xanthogranulom atouspyelonephritis

Acta chirurgica iugoslavica ◽

10.2298/aci1502065r ◽

2015 ◽

Vol 62 (2) ◽

pp. 65-69

Author(s):

Slobodan Ristovski ◽

A. Sofronievska ◽

Maja Glavinov

Keyword(s):

Recurrent Urinary Tract Infection ◽

Wide Spectrum ◽

Treatment Options ◽

Left Kidney ◽

Flank Pain ◽

Macroscopic Hematuria ◽

Left Flank ◽

History Of ◽

Renal Infection ◽

Left Flank Pain

Ureteritis cystica (UC) and xanthogranulomatous pyelonephritis (XP) are rare, benign conditions that uncommonly appear together. The first one has not well established etiology yet and can affect ureter, renal pelvis and bladder. The second one is a chronic renal infection resulting in severe kidney deterioration and destruction. Both of these entities are usually unilateral. They both cause wide spectrum of symtoms so the diagnose can be difficult to establish. We report the case of a 68 year old male with a history of intermittent macroscopic hematuria, left flank pain, recurrent urinary tract infection and calculosis of left kidney. We describe the imaging and endoscopic investigations leading to the diagnosis of ureteritis cystica as well as the treatment options.

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Preterm Delivery in the Setting of Left Calyceal Rupture

Case Reports in Obstetrics and Gynecology ◽

10.1155/2015/906073 ◽

2015 ◽

Vol 2015 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Brent Hanson ◽

Rami Tabbarah

Keyword(s):

Preterm Delivery ◽

Preterm Labor ◽

Clinical Situation ◽

Flank Pain ◽

Renal Ultrasound ◽

Left Flank ◽

Active Labor ◽

History Of ◽

Magnetic Resonance Imaging Mri ◽

Left Flank Pain

Spontaneous rupture of the renal collecting system is a rare but serious complication of pregnancy. We report a case of nontraumatic left renal calyceal rupture in a pregnancy which ultimately progressed to preterm delivery. A 29-year-old primigravida with a remote history of urolithiasis presented with left flank pain, suprapubic pain, and signs of preterm labor at 33 weeks of gestation. The patient was believed to have urolithiasis, although initial renal ultrasound failed to demonstrate definitive calculi. After a temporary improvement in flank pain with medication, the patient experienced acute worsening of her left flank pain. Urology was consulted and further imaging was obtained. Magnetic resonance imaging (MRI) was consistent with bilateral hydronephrosis and rupture of the left renal calyx. Given the patient’s worsening pain in the setting of left calyceal rupture, the urology team planned for placement of a left ureteral stent. However, before the patient could receive her stent, she progressed to active labor and delivered a viable female infant vaginally. Following delivery, the patient’s flank pain resolved rapidly and spontaneously, so no surgical intervention was performed. A summary of the literature and the details of this specific clinical situation are provided.

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Impacted vesicouretric stone a quagmire settled with holmium laser

Journal of Clinical Images and Medical Case Reports ◽

10.52768/2766-7820/1362 ◽

2021 ◽

Vol 2 (5) ◽

Author(s):

Manjeet Kumar ◽

◽

Sanjeev Chauhan ◽

Keyword(s):

Medical Treatment ◽

Ct Scan ◽

Flank Pain ◽

Nausea And Vomiting ◽

Holmium Laser ◽

Operation Theatre ◽

Left Flank ◽

Noncontrast Ct ◽

Left Flank Pain

A 38 years female presented with left flank pain, nausea, and vomiting. Ultrasound and Noncontrast CT scan were suggestive of left hydronephrosis with left Vesicoureteral stone (Figure 1). Conservative medical treatment previously was not successful. Blood investigations were Hb 11.5 gm%, TLC 11500/mm3 , urea 22, creatinine 0.6, urine was full of RBCs. She was taken to the operation theatre for emergency double j stenting. Cystoscopy showed impacted left vesicoureteral stone (Figure 2,3).

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