Hamedbarghi Gholam-Ali, Daghighi Mohammad-Hossein
Department of Radiology, Tabriz University of Medical Sciences, Tabriz, Iran.
Arch Iran Med. 2007 Jan;10(1):114-7.
We present a case of renal stone associated with bilateral pelvic diverticula. The initial diagnosis by ultrasonography and plain abdomen radiography (KUB) was urolithiasis with a 15-mm calculus in the right renal pelvis. The patient was referred for extracorporeal shock wave lithotripsy, but no stone fragments were yielded. So, further evaluations were performed by using repeated ultrasonography, intravenous urography, and computerized tomography, which revealed the presence of diverticula in both right and left renal pelvises with stone fragments within the right sided diverticulum. We concluded that intravenous urography and contrast-enhanced computerized tomography are essential for confirmation of diagnosis when ultrasonographic findings suggest the presence of renal cystic lesions, or when stone fragments are not yielded after extracorporeal shock wave lithotripsy.
我们报告一例肾结石合并双侧肾盂憩室的病例。最初通过超声检查和平片腹部X线摄影（KUB）诊断为尿路结石，右肾盂有一枚15毫米的结石。患者被转诊接受体外冲击波碎石术，但未产生结石碎片。因此，通过重复超声检查、静脉肾盂造影和计算机断层扫描进行了进一步评估，结果显示左右肾盂均存在憩室，右侧憩室内有结石碎片。我们得出结论，当超声检查结果提示存在肾囊性病变，或体外冲击波碎石术后未产生结石碎片时，静脉肾盂造影和增强计算机断层扫描对于确诊至关重要。
