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Clinical Manifestation of a Calyceal Diverticular Abscess in a Pregnant Woman

Calyceal diverticula are congenital, nonsecretory abnormalities in which the transitional cell-lined cavity communicates with the renal collecting system. Here we present the case of a calyceal diverticular abscess during pregnancy. A 40-year-old primiparous woman developed the abscess at 23 weeks o...

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Autores principales: Sekiguchi, Masaki, Hasegawa, Yuichi, Kinomoto, Satoko, Sago, Haruhiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4265685/
https://www.ncbi.nlm.nih.gov/pubmed/25525537
http://dx.doi.org/10.1155/2014/975071
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author Sekiguchi, Masaki
Hasegawa, Yuichi
Kinomoto, Satoko
Sago, Haruhiko
author_facet Sekiguchi, Masaki
Hasegawa, Yuichi
Kinomoto, Satoko
Sago, Haruhiko
author_sort Sekiguchi, Masaki
collection PubMed
description Calyceal diverticula are congenital, nonsecretory abnormalities in which the transitional cell-lined cavity communicates with the renal collecting system. Here we present the case of a calyceal diverticular abscess during pregnancy. A 40-year-old primiparous woman developed the abscess at 23 weeks of gestation, with right flank pain and a 37.8°C fever. A transabdominal ultrasound revealed a 12 × 10 cm cystic mass in the right kidney. She was initially diagnosed with a simple renal cyst infection, and intravenous antibiotics were initiated. Percutaneous drainage was started at 26 weeks of gestation. When urine excretion from the cyst was confirmed by dye test using indigotindisulfonate sodium, the patient was diagnosed with a calyceal diverticular abscess. She gave birth to a 2,870 g healthy male at 38 weeks of gestation. Percutaneous drainage with low-dose antimicrobial therapy could thus allow for the continued pregnancy of women with a calyceal diverticular abscess until full term.
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spelling pubmed-42656852014-12-18 Clinical Manifestation of a Calyceal Diverticular Abscess in a Pregnant Woman Sekiguchi, Masaki Hasegawa, Yuichi Kinomoto, Satoko Sago, Haruhiko Case Rep Obstet Gynecol Case Report Calyceal diverticula are congenital, nonsecretory abnormalities in which the transitional cell-lined cavity communicates with the renal collecting system. Here we present the case of a calyceal diverticular abscess during pregnancy. A 40-year-old primiparous woman developed the abscess at 23 weeks of gestation, with right flank pain and a 37.8°C fever. A transabdominal ultrasound revealed a 12 × 10 cm cystic mass in the right kidney. She was initially diagnosed with a simple renal cyst infection, and intravenous antibiotics were initiated. Percutaneous drainage was started at 26 weeks of gestation. When urine excretion from the cyst was confirmed by dye test using indigotindisulfonate sodium, the patient was diagnosed with a calyceal diverticular abscess. She gave birth to a 2,870 g healthy male at 38 weeks of gestation. Percutaneous drainage with low-dose antimicrobial therapy could thus allow for the continued pregnancy of women with a calyceal diverticular abscess until full term. Hindawi Publishing Corporation 2014 2014-11-30 /pmc/articles/PMC4265685/ /pubmed/25525537 http://dx.doi.org/10.1155/2014/975071 Text en Copyright © 2014 Masaki Sekiguchi et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Sekiguchi, Masaki
Hasegawa, Yuichi
Kinomoto, Satoko
Sago, Haruhiko
Clinical Manifestation of a Calyceal Diverticular Abscess in a Pregnant Woman
title Clinical Manifestation of a Calyceal Diverticular Abscess in a Pregnant Woman
title_full Clinical Manifestation of a Calyceal Diverticular Abscess in a Pregnant Woman
title_fullStr Clinical Manifestation of a Calyceal Diverticular Abscess in a Pregnant Woman
title_full_unstemmed Clinical Manifestation of a Calyceal Diverticular Abscess in a Pregnant Woman
title_short Clinical Manifestation of a Calyceal Diverticular Abscess in a Pregnant Woman
title_sort clinical manifestation of a calyceal diverticular abscess in a pregnant woman
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4265685/
https://www.ncbi.nlm.nih.gov/pubmed/25525537
http://dx.doi.org/10.1155/2014/975071
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