Arambasić Jadranka, Puseljić Silvija, Angebrandt Snjezana, Puseljić Ivo
Klinika za pedijatriju, Klinicka bolnica Osijek, J. Huttlera 4 31000 Osijek, Hrvatska.
Acta Med Croatica. 2003;57(1):83-5.
Three patients with megacalycosis, a rare ren anomaly which includes dilatation of all ren calices, are presented. The symptoms of acute uroinfection were present in all three patients. The patients underwent clinical observation, laboratory testing, and renal ultrasound. Ultrasound revealed unilateral hydronephrosis in all three patients. Additional examinations included static and dynamic renal scintigraphy, voiding cystourethrography, and intravenous urography which pointed to unilateral megacalycosis. The symptoms of acute uroinfection were probably triggered by urinary stasis in dilated calices. Surgical intervention is not indicated in megacalycosis. The increasing incidence of uroinfection, urolithiasis and hematuria imposed the need of continuous follow-up in these patients.
