IMAGES IN UROLOGY

Calyx diverticulum

Divertículo calicial

Daniel López García, José Manuel Janeiro Pais, Pastor Casas Agudo, Juan González Dacal, Sara Martínez Breijo and Marcelino González Martín.

Department of Urology. Juan Canalejo Hospital. La Coruña. Spain.

Correspondence

We present the case of a 61 years old female, with no interesting past health, who comes to the urologist having a colic pain in the left flank within the last six months and several events of urinary infection more recently.

She carried in the first visit an abdomen radiography showing lithiasis in her left kidney (Figures 1 and 2).

An intravenous urography is performed. It shows a narrow necked 2 cm diverticulum in the upper calyx of the left kidney, where there are many little stones (Figures 3 and 4).

The case was first discussed in a clinical round, then the decision was to perform a partial nephrectomy of the left kidney upper pole in order to include the diverticulum in the specimen.

The patient is discharged in the fourth postoperative day, keeping asymptomatic. In the first and second visits after the surgery the patient did not relate any clinical manifestation of renal colic nor infection.

Correspondence:
Daniel López García
Servicio de Urología
Hospital Juan Canalejo Planta 11
Xubias de Arriba, 84
15006 La Coruña. (Spain).
delnilopez@hotmail.com