Kremers P W, Beckmann C F, Bihrle W
Department of Diagnostic Radiology, Lahey Clinic Medical Center, Burlington, Massachusetts.
Urology. 1988 Jul;32(1):29-32. doi: 10.1016/0090-4295(88)90449-9.
Abscess formation is a known complication of pyelocaliceal diverticulum. Although successful management of stones complicating pyelocaliceal diverticulum has been described utilizing percutaneous techniques, this is the first report to our knowledge of a percutaneous technique that simultaneously manages an acute abscess and provides for ablation of the diverticular cavity thus preventing future recurrences. The method involves placement of single or multiple stents spanning the diverticulum and the collecting system proper following percutaneous dilatation of the narrow isthmus that usually provides the communication with the main collecting system. The procedure offers an economical and tissue-sparing approach, which obviates the need for major abdominal or retroperitoneal operation.
脓肿形成是肾盂肾盏憩室已知的并发症。尽管已有利用经皮技术成功处理并发结石的肾盂肾盏憩室的报道，但据我们所知，这是首例同时处理急性脓肿并对憩室腔进行消融以防止未来复发的经皮技术报告。该方法包括在经皮扩张通常与主集合系统相通的狭窄峡部后，放置单个或多个跨越憩室和集合系统本身的支架。该手术提供了一种经济且保留组织的方法，避免了进行大型腹部或腹膜后手术的必要性。
