小儿肾盏憩室结石：经皮肾镜取石术的诊断与治疗“病例报告”
Pediatric renal calyceal diverticular calculi: Diagnostic and management by percutaneous nephrolithotomy "case report".
作者信息
Loïs Landry Nangue Ngansob, Wadhwa Pankaj, Luthra Meera, Joshi Shweta
机构信息
Department of Pediatric Surgery, Medanta, The Medicity Hospital, Gurugram, Sector-38, Gurugram, Haryana, 122 001, India.
Department of Urology, Medanta, The Medicity Hospital, Gurugram, Sector-38, Gurugram, Haryana, 122 001, India.
出版信息
Urol Case Rep. 2024 Dec 6;58:102900. doi: 10.1016/j.eucr.2024.102900. eCollection 2025 Jan.
Renal calyceal diverticula are rarely diagnosed in children. Calculus formation within the diverticulum is a significant complication and its management in children remains controversial. We report our experience with 1 case, managed with minimally invasive surgery. We report one pediatric case who presented with flank pain. Physical examination, biochemistry and urinalysis were normal. Contrast-enhanced computed tomography revealed calyceal diverticulum type II with secondary diverticular calculus. The patient underwent mini-percutaneous nephrolithotomy and recovered uneventfully. Percutaneous nephrolithotomy is safe and effective, and it can be offered as a first line therapy for symptomatic calyceal diverticular calculi in children.
肾盏憩室在儿童中很少被诊断出来。憩室内结石形成是一种重要的并发症，其在儿童中的治疗仍存在争议。我们报告了1例采用微创手术治疗的经验。我们报告了1例出现侧腹痛的儿科病例。体格检查、生化检查和尿液分析均正常。增强CT显示为II型肾盏憩室并伴有继发性憩室结石。该患者接受了微创经皮肾镜取石术，术后恢复顺利。经皮肾镜取石术安全有效，可作为儿童有症状的肾盏憩室结石的一线治疗方法。
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