Calyceal diverticulum

Case contributed by Dr Hidayatullah Hamidi

Presentation

Recurrent urinary tract infection and right flank dull pain for last 3 years.

Patient Data

Age: 30 years
Gender: Female
Modality: X-ray

Plain radiograph shows faint curvilinear opacity in the right renal region. Intravenous urography image in the pyelogram phase (5 minutes after IV contrast injection) shows stretching upper and middle calyxes. Delayed images (after 90 minutes and 3 hours) shows well opacification of a large calyceal diverticulum.

Modality: Ultrasound

Trans abdominal ultrasound shows large cystic structure in the middle portion of right kidney with mobile, hyper-echoic material in the dependent portion (milk of calcium).

Case Discussion

A calyceal diverticulum is a urine-containing cystic cavity communicating with the collecting system via a narrow isthmus. It can be diagnosed as an incidental finding or can be symptomatic.

PlayAdd to Share

Case Information

rID: 50790
Case created: 21st Jan 2017
Last edited: 23rd Jan 2017
System: Urogenital
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.