Garrido Abad Pablo, Fernández González Inmaculada, Coloma Del Peso Almudena, Herranz Fernández Luis Miguel, Jiménez Gálvez Milagros, Fernández Arjona Manuel, Bocardo Fajardo Gloria, Herrero Torres Lorenzo, Pereira Sanz Ignacio
Servicio de Urología, Hospital Universitario de La Princesa, Madrid, España.
Arch Esp Urol. 2009 Jan-Feb;62(1):42-8. doi: 10.4321/s0004-06142009000100006.
To report the case of a 47-years-old woman with several small stones located inside a calyceal diverticulum of the right kidney and to highlight the importance of minimally invasive endourological treatment in these cases.
Owing to the presence of diverticular calculi and clinical symptoms of recurrent infection, we decided to perform percutaneous nephrolithotomy (PNL). After Holmium-YAG laser calculi fragmentation and removal of all stone material, we fulgurated the diverticular lining and infundibulum with a resectoscope and a rollerball electrode.
The patient is free of symptoms after 6 months follow-up. The disappearance of the calculi and diverticulum is confirmed with excretory urogram.
Endourological approach for diverticular calculi, such as percutaneous nephrolithotomy (PNL), is a minimally invasive treatment with excellent results and low morbidity. Using this procedure we are able to perform stone removal and cavity fulguration. According to this, we think that endourological techniques, and specially PNL could be the first option for treatment in selected cases of this pathology.
报告一例47岁女性右肾盏憩室内存在多个小结石的病例，并强调在这些病例中微创腔内泌尿外科治疗的重要性。
由于存在憩室结石及反复感染的临床症状，我们决定行经皮肾镜取石术（PNL）。在钬激光碎石并清除所有结石物质后，我们用膀胱电切镜和滚球电极对憩室壁和漏斗部进行电灼。
随访6个月后患者无症状。排泄性尿路造影证实结石和憩室消失。
腔内泌尿外科治疗憩室结石，如经皮肾镜取石术（PNL），是一种微创治疗方法，效果良好且发病率低。通过该手术我们能够进行结石清除和腔壁电灼。据此，我们认为腔内泌尿外科技术，特别是PNL，在这种疾病的特定病例中可能是首选治疗方法。
