Giant calyceal diverticulum diagnosed in pregnancy: A case report of successful percutaneous catheter management during pregnancy and robot-assisted calyceal diverticulectomy after delivery
{"title":"Giant calyceal diverticulum diagnosed in pregnancy: A case report of successful percutaneous catheter management during pregnancy and robot-assisted calyceal diverticulectomy after delivery","authors":"Takashi Sakaguchi, Yoichi Osako, Akihiko Mitsuke, Risako Ogawa, Himawari Takeyama, Ryosuke Matsushita, Hirofumi Yoshino, Shuichi Tatarano, Hideki Enokida","doi":"10.1016/j.eucr.2025.102935","DOIUrl":null,"url":null,"abstract":"<div><div>We report our experience with a pregnant patient with a giant calyceal diverticulum—a very rare presentation. A 30-year-old pregnant woman was referred to our department with left flank pain at 7 weeks of gestation. Ultrasonography and computed tomography showed a giant cystic lesion on the left kidney. Single-puncture drainage was performed, but when fluid immediately reaccumulated, a percutaneous catheter was placed. We suspected a fistula between the cystic lesion and renal pelvis. After delivery, we made a definitive diagnosis of a calyceal diverticulum and successfully performed robot-assisted calyceal diverticulectomy.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102935"},"PeriodicalIF":0.4000,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11786649/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Urology Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2214442025000063","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
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Abstract
We report our experience with a pregnant patient with a giant calyceal diverticulum—a very rare presentation. A 30-year-old pregnant woman was referred to our department with left flank pain at 7 weeks of gestation. Ultrasonography and computed tomography showed a giant cystic lesion on the left kidney. Single-puncture drainage was performed, but when fluid immediately reaccumulated, a percutaneous catheter was placed. We suspected a fistula between the cystic lesion and renal pelvis. After delivery, we made a definitive diagnosis of a calyceal diverticulum and successfully performed robot-assisted calyceal diverticulectomy.
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