Open AccessA clinical case of surgical treatment of calyx diverticulum in a 12-year-old child
Author(s) -
A. A. Оganisyan,
S. G. Vrublevskij,
A. S. Vrublevskij,
R. Yu. Valiev,
I. S. Ahmetzhanov,
П. А. Романов,
E. A. Kirienko,
Е. N. Vrublevskaya
Publication year - 2020
Publication title -
detskaâ hirurgiâ
Language(s) - English
Resource type - Journals
eISSN - 2412-0677
pISSN - 1560-9510
DOI - 10.18821/1560-9510-2020-24-6-413-416
Subject(s) - diverticulum (mollusc) , medicine , calyx , asymptomatic , ablation , radiology , laparoscopy , kidney , magnetic resonance imaging , surgery , anatomy
. Calyx diverticulum is a rather rare pathology in pediatric practice. In the structure of cystic kidney malformations, it amounts up to 12-15%. In most cases, the disease is asymptomatic. To make a differential diagnostics and to define a technique for surgical treatment, computed tomography or magnetic resonance imaging are used. Currently, puncture-sclerotic method and endosurgical (laparoscopic, retroperitoneoscopic) one can be successfully applied. The main purpose of this clinical observation is to illustrate that little-traumatic laparoscopic access to the kidney and plasma ablation of the diverticulum epithelial lining can be used to have successful outcomes. Material and methods . The authors describe a clinical case of renal cavities in a 12-year-old boy - calyx diverticulum of the right kidney and a cyst of the left kidney - which were successfully treated with a combined approach when puncture and laparoscopic corrections were used depending on lesion’s chracteriatics. Conclusion . A rational approach and substantiation of the applied surgical technique with plasma ablation of calyx diverticulum cavity allowed to obtain good results - cavity size was reduced and renal parenchyma was preserved what is important for future organ functioning.