Divertículo caliceal gigante: relato de caso
DOI:
https://doi.org/10.34119/bjhrv6n4-261Keywords:
hematúria, divertículo calicinal, cavidade cística, parênquima renalAbstract
Este relato de caso aborda uma paciente de 68 anos com queixa de hematúria. Ela foi diagnosticada com divertículo caliceal, uma cavidade cística rara e congênita no parênquima renal. Em muitos casos, os divertículos são assintomáticos, mas em alguns podem causar sintomas, como dor, infecções urinárias e formação de cálculos. O tratamento varia de acordo com a topografia do divertículo e da anatomia do paciente e pode ser realizado de maneira invasiva ou não-invasiva. A decisão sobre o tratamento é baseada em múltiplas variáveis e deve ser avaliada pela equipe responsável.
References
Mohammadi Abdolreza, et al. Type 2 calyceal diverticulum with an unusual appearance in the lower pole of the kidney. - [Internet]. 2022 Jun 30 [cited 2022 Oct 3]; Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9255641/.
Maranhão Carol Pontes de Miranda, et al. Anomalias congênitas do trato urinário superior: novas imagens das mesmas doenças. - [Internet]. 2013 Jan 10 [cited 2022 Oct 4]; Available from: http://www.rb.org.br/detalhe_artigo.asp?id=2384&idioma=Portugues
Waingankar Nikhil, et al. Calyceal Diverticula: A Comprehensive Review. - [Internet]. 2014 Jan 16 [cited 2022 Oct 3]; Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4004282/#:~:text=Calyceal%20diverticula%20are%20rare%20outpouchings,of%20patients%20presented%20with%20stones
Bas Okan · Ozyuvali Ekrem, et al. Management of calyceal diverticular calculi: a comparison of percutaneous nephrolithotomy and flexible ureterorenoscopy. - [Internet] 2014 16 Set. Available from: https://pubmed.ncbi.nlm.nih.gov/25249328/
Touzani Mohammed Alae, et al. Giant stone complicating calyceal diverticulum. - [Internet]. 2019 Jul 17 [cited 2022 Oct 4]; Available from: https://europepmc.org/article/med/31692750
Smyth Niamh , Somani Bhaskar, et al., Treatment Options for Calyceal Diverticula - [ Internet] 2019 May 23; Avaible from: https://pubmed.ncbi.nlm.nih.gov/31123923/
Gross, A. J.; Rassweiler, J.; Sievert, K. D.; Miernik, A.; Westphal, J.; Leyh, H.; Herrmann, T. R. W.; Olbert, P.; Häcker, A.; Bachmann, A.; Homberg, R.; Klein, J.; Schoenthaler, M.; Netsch, C. (2017). Ureterorenoskopie. Der Urologe, 56(3), 395–404. doi:10.1007/s00120-017-0333-4
Middleton aw jr, pfister rc. stone-containing pyelocaliceal diverticulum: embriogenic, anatomic and clinical characteristics. j urol, 111: 2-6, 1974.
Wulfsohn ma. pyelocaliceal diverticula. j. urol., 123 (1): 1-8, 1980.
Yamasaki T, Yoshioka T, Imoto M, Aoki H, Fujio K, Uehara S, Otsuki H. Rupture of a Calyceal Diverticulum Secondary to Ureteroscopy: A Rare Complication. Urology. 2018 Oct;120:229-231. doi: 10.1016/j.urology.2018.06.031. Epub 2018 Jul 9. PMID: 29990543.
Zhang JQ, Wang Y, Zhang JH, Zhang XD, Xing NZ. Retrospective Analysis of Ultrasound-guided Flexible Ureteroscopy in the Management of Calyceal Diverticular Calculi. Chin Med J 2016;129:2067-73. PMID: 27647141.
Oliveira Pedro Henrique Martins de, et al. Cirurgia endoscópica intrarrenal combinada (ECIRS) em posição galdakao-valdívia modificada: um relato de caso. Brazilian Journal of Health Review [Internet]. 2022 Mar 08 [cited 2023 Jul 13]; Available from: https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/44915/pdf
Batter sj, dretler sp. Ureterorenoscopic approach to the sintomatic caliceal diverticulum. j urol, 158: 709-713,1997.
Stroher Cinthia, et al. Surgical approaches in renal lithiasis: integrative review. 2022 Mar 28 [cited 2023 Jul 13]; Available from: https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/49321/pdf
Srivastava A, Gupta R, Kumar A, Kapoor R, Mandhani A. Prospective evaluation of safety and efficacy of holmium laser for management of large renal stones. Urology. 2010 Sep;76(3):671-4. doi: 10.1016/j.urology.2010.02.055. PMID: 20491573.
Elawdy MM, Osman Y, Taha DE, Elshazly MA, Elnahas AR, Shoma AM. Comparative study between tamsulosin and silodosin in the management of distal ureteral stones. Urology. 2014 Aug;84(2):388-92. doi: 10.1016/j.urology.2014.04.014. Epub 2014 Jun 1. PMID: 24892394.
Gruenwald I, Appel B, Vardi Y. Low-intensity extracorporeal shock wave therapy--a novel effective treatment for erectile dysfunction in severe ED patients who respond poorly to PDE5 inhibitor therapy. J Sex Med. 2012 Apr;9(4):259-64. doi: 10.1111/j.1743-6109.2011.02646.x. Epub 2012 Jan 19. PMID: 22251989.
