Calyceal diverticulum

Case contributed by Dr Safwat Mohammad Almoghazy

Presentation

Right upper quadrant pain for investigation.

Patient Data

Age: 40 years
Gender: Female
X-ray

Multiple radio-opaque shadows (stones) overlying the right upper quadrant.

The remainder of the abdominal x-ay is unremarkable.  

Ultrasound

Small right renal cystic lesion with posterior dependent calculi within. This would suggest this lesion is a calyceal diverticulum.

Case Discussion

The patient presented with right flank pain and she had an abdominal x-ray that showed multiple radio-opaque stones overlying right kidney and confirmed on ultrasound as a calyceal diverticulum. 

A calyceal diverticulum complicated by dependent calculi appears echogenic on ultrasound with acoustic shadows. 

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