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Case Reports
. 2020 Sep 16:2020:7983242.
doi: 10.1155/2020/7983242. eCollection 2020.

Actual Management of Anterior Calyceal Diverticular Calculi: A Challenging Flexible Retrograde Endoscopic Approach

Ali Barki  1 , Anouar El Moudane  1
Affiliations
Case Reports

Actual Management of Anterior Calyceal Diverticular Calculi: A Challenging Flexible Retrograde Endoscopic Approach

Ali Barki et al. Case Rep Urol. .

Abstract

Calyceal diverticula is a cavity that communicates with the collecting system through a narrow isthmus of the kidney. The incidence of the formation of stones in calyceal diverticula is 10-50%. This paper reports three cases of two females and one male who presented with calyceal diverticular calculi; the patients have been, arbitrarily, selected between August and February 2019 at the urology department of our university hospital. A minimally invasive treatment includes extracorporeal lithotripsy (ESWL), and F-URS (flexible ureteroscopy) was performed. We report this case series.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
A: double pigtail stent (CH6) placed to dilate the ureter. B: 3 stone-bearing diverticula in middle calyces.
Figure 2
Figure 2
A: stone-containing calyceal diverticula. Arrow: opacified neck of a calyceal diverticulum.
Figure 3
Figure 3
Pulverized calculi with the holmium laser.
Figure 4
Figure 4
CT demonstrates a 10 mm stone-bearing diverticulum with 750 UH of density situated in the pole with the holmium laser.
Figure 5
Figure 5
(F-URS) the infundibulum of diverticulum the calyceal diverticulum incised upper.
Figure 6
Figure 6
A fragment of calculi removed with a small caliber basket.
Figure 7
Figure 7
Arrow: opacified neck of a calyceal diverticulum.
Figure 8
Figure 8
With F-URS, the infundibulum of the calyceal diverticulum is incised with the holmium laser.
See this image and copyright information in PMC

References

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