ABSTRACT
Introducción: El divérticulo calicial se detecta en 0,21 a 0.60 por ciento de los urogramas excretores. Objetivos: Describir una paciente con diagnóstico incidental de esta anomalía y su seguimiento durante 11 años. Presentación del caso: Durante la realización de un urograma excretor para el estudio de una hidronefrosis en una niña de siete años de edad, se detectó un divertículo calicial en el riñón contralateral y después de 11 años de seguimiento ultrasonográfico no se ha demostrado modificación ni complicación del divertículo. Conclusiones: El divertículo calicial es una anomalía congénita que puede mantenerse sin complicaciones durante años por lo que debe tratarse conservadoramente(AU)
ABSTRACT Introduction: Calyceal diverticulum is detected in 0,21 percent to 0.60 percent of excretory urogram. Objectives: To describe a patient with an incidental diagnosis of this anomaly and her follow up during 11 years. Case presentation: During the performance of an excretory urogram for studying a hydronefrosis in a seven years old girl, a calyceal diverticulum was detected in the contralateral kidney; and after 11 years of ultrasonographic follow-up there has been no modifications or complication related with the diverticulum. Conclusions: Calycial diverticulum is a congenital anomaly that can last years without presenting complications. That is why it must be treated conservatively(AU)
Subject(s)
Humans , Male , Child , Urography/methods , Diverticulum/congenital , Diagnosis, Differential , Kidney Calices/abnormalities , Kidney Calices/diagnostic imagingABSTRACT
BACKGROUND: This report describes a partial nephrectomy with a minimally invasive approach, carried out laparoscopically as a treatment for a hydrocalicosis caused by a congenital infundibular stenosis. CLINICAL CASE: The patient presented a clinical background of one year of evolution, manifested as recurrent urinary tract infections caused by urine accumulation in the adjacent collecting tubules which were compressed by the superior hydrocalicosis. This procedure was made using a transperitoneal access, making a superior pole resection of the right kidney and respecting the adrenal gland. CONCLUSIONS: In our opinion, to widen the usage of the laparoscopic surgery in urology can benefit patients to reduce post-surgery complications and hospitalization time, with a more comfortable recovery.
Subject(s)
Kidney Calices/abnormalities , Laparoscopy/methods , Nephrectomy/methods , Ultrasonic Surgical Procedures/methods , Adult , Chemotherapy, Adjuvant , Combined Modality Therapy , Fallopian Tube Neoplasms/complications , Fallopian Tube Neoplasms/therapy , Female , Humans , Hysterectomy , Kidney Calices/pathology , Kidney Calices/surgery , Postoperative Complications/etiology , Recurrence , Salpingectomy , Urinary Tract Infections/etiologyABSTRACT
Propósito: presentación de casos con patología fetal estudiados mediante secuencias ultrarrápidas de RM. Material y métodos: se estudiaron 12 pacientes (14 fetos) cursando el 2º y 3º trimestre de embarazo con US y RM obstétricas. Para la RM se implementaron secuencias ultrarrápidas (Half Fourier Single Shot Turbo SE, HASTE). No se implementó sedación materna ni fetal. Resultados: los hallazgos de los 12 casos con anomalías fetales fueron: quistes por duplicación intestinal (n=1), estenosis pieloureteral y displasia multiquística renal (n=1), atresia esofágica (n=1), síndrome acárdico-anencefálico (n=1), holoprosencefalia semilobar (n=1), hernia diafragmática congénita (n=1), malformación adenomatoidea quística (n=1), onfalocele asociado a escoliosis (n=1), gastrosquisis (n=1), estenosis duodenal (n=1), teratoma cervical (n=1) y atresia ureteral (n=1). Conclusión: las secuencias ultrarrápidas permiten es estudio por RM de pacientes cursando el 2º/3º trimestre del embarazo, sin requerimiento de sedación. Se utiliza como complemento de US para la confirmación de anomalías fetales. La información aportada permite la toma de decisiones terapéuticas adecuadas
Subject(s)
Humans , Female , Pregnancy , Digestive System Abnormalities/diagnosis , Abnormalities, Multiple/diagnosis , Urogenital Abnormalities/diagnosis , Congenital Abnormalities , Fetus , Nervous System Malformations , Anencephaly , Esophageal Atresia/diagnosis , Kidney Calices/abnormalities , Duodenum , Magnetic Resonance Spectroscopy/standards , Magnetic Resonance Spectroscopy , Gastroschisis , Heart , Hernia, Diaphragmatic/congenital , Hernia, Diaphragmatic/diagnosis , Hernia, Umbilical , Holoprosencephaly , Intestine, Small , Magnetic Resonance Imaging , Teratoma , Thorax/abnormalities , Ureter , UrethraABSTRACT
Propósito: presentación de casos con patología fetal estudiados mediante secuencias ultrarrápidas de RM. Material y métodos: se estudiaron 12 pacientes (14 fetos) cursando el 2º y 3º trimestre de embarazo con US y RM obstétricas. Para la RM se implementaron secuencias ultrarrápidas (Half Fourier Single Shot Turbo SE, HASTE). No se implementó sedación materna ni fetal. Resultados: los hallazgos de los 12 casos con anomalías fetal
Subject(s)
Humans , Female , Pregnancy , Abnormalities, Multiple/diagnosis , Nervous System Malformations/diagnosis , Digestive System Abnormalities/diagnosis , Fetus/abnormalities , Congenital Abnormalities/diagnosis , Urogenital Abnormalities/diagnosis , Esophageal Atresia/diagnosis , Intestine, Small/abnormalities , Kidney Calices/abnormalities , Ureter/abnormalities , Urethra/abnormalities , Duodenum/abnormalities , Heart , Thorax/abnormalities , Gastroschisis/diagnosis , Hernia, Umbilical/diagnosis , Holoprosencephaly/diagnosis , Anencephaly/diagnosis , Teratoma/diagnosis , Hernia, Diaphragmatic/congenital , Hernia, Diaphragmatic/diagnosis , Magnetic Resonance Imaging , Magnetic Resonance Spectroscopy/standards , Magnetic Resonance Spectroscopy/diagnosisABSTRACT
Se presenta un caso de papila renal ectópica acompañada de tumor primario de uretero contralateral que hizo sospechar la existencia de tumor bilateral, y que se trató de manera conservadora para presentar la función renal
Subject(s)
Humans , Male , Female , Kidney Calices/abnormalities , Diagnosis, Differential , Kidney Neoplasms/diagnosisABSTRACT
A case of megacalycosis is described in a newborn with multiple anomalies and enlarged kidneys. Uroradiological studies, TAC, ultrasound and nuclear medicine studies were practiced. The excretory urogram was by far the best technique to demonstrate this entity characterized by enlarged kidneys and uniform dilatation of all the calyces with the remainder of the collecting system normal. Voiding cystourethrography was normal as were renal function tests. This rare urological entity is a form of renal dysplasia which must not be confused with obstructive o refluxing hydronephrosis so that needless surgery is avoided.