Cargando…

A case report of renal calyceal diverticulum with hypertension in children and review of literature

BACKGROUND: Renal calyx diverticulum refers to a cystic lesion covered with the transitional epithelium in the renal parenchyma. Although there is no clear evidence that calyx diverticulum can cause hypertension, there exists a close association between the two, and there are few related reports. He...

Descripción completa

Detalles Bibliográficos
Autores principales: Zhao, Yongxiang, Zhang, Ruimin, Yun, Ye, Wu, Xiangming, Li, Haowei, Wang, Jun, Wang, Wei, Jia, Chunmei, Song, Hongcheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8750799/
https://www.ncbi.nlm.nih.gov/pubmed/35016649
http://dx.doi.org/10.1186/s12887-021-03081-5
_version_ 1784631543101128704
author Zhao, Yongxiang
Zhang, Ruimin
Yun, Ye
Wu, Xiangming
Li, Haowei
Wang, Jun
Wang, Wei
Jia, Chunmei
Song, Hongcheng
author_facet Zhao, Yongxiang
Zhang, Ruimin
Yun, Ye
Wu, Xiangming
Li, Haowei
Wang, Jun
Wang, Wei
Jia, Chunmei
Song, Hongcheng
author_sort Zhao, Yongxiang
collection PubMed
description BACKGROUND: Renal calyx diverticulum refers to a cystic lesion covered with the transitional epithelium in the renal parenchyma. Although there is no clear evidence that calyx diverticulum can cause hypertension, there exists a close association between the two, and there are few related reports. Herein, we reported the case of a child with renal calyx diverticulum complicated with hypertension and summarized the diagnosis and treatment. CASE PRESENTATION: Physical examination of the patient, an 11-year-old child, revealed a left renal cyst with hypertension (155/116 mmHg). There were no related symptoms. Routine urine and blood biochemical examinations showed no abnormalities. Imaging revealed left renal cyst compression causing the hypertension. She underwent renal cyst fluid aspiration and injection of a sclerosing agent into the capsule, but her blood pressure increased again 3 days postoperatively. Color Doppler ultrasonography showed that the size of the left renal cyst was the same as that preoperatively. To further confirm the diagnosis, cystoscopic retrograde ureteropyelography was performed to confirm the diagnosis of renal calyx diverticulum. Subsequently, renal calyceal diverticulum resection and calyx neck enlargement were performed. The operation went smoothly and the blood pressure returned to normal postoperatively. No abnormalities were noted at the 7-month postoperative follow-up. CONCLUSION: There exists an association between renal calyx diverticulum and hypertension. Therefore, hypertension can be considered a surgical indication for renal calyx diverticulum. Moreover, renal calyceal diverticulum in children can be easily misdiagnosed as a renal cyst. Therefore, it is important to be vigilant to prevent a series of complications, such as postoperative urine leakage, in such cases.
format Online
Article
Text
id pubmed-8750799
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-87507992022-01-11 A case report of renal calyceal diverticulum with hypertension in children and review of literature Zhao, Yongxiang Zhang, Ruimin Yun, Ye Wu, Xiangming Li, Haowei Wang, Jun Wang, Wei Jia, Chunmei Song, Hongcheng BMC Pediatr Case Report BACKGROUND: Renal calyx diverticulum refers to a cystic lesion covered with the transitional epithelium in the renal parenchyma. Although there is no clear evidence that calyx diverticulum can cause hypertension, there exists a close association between the two, and there are few related reports. Herein, we reported the case of a child with renal calyx diverticulum complicated with hypertension and summarized the diagnosis and treatment. CASE PRESENTATION: Physical examination of the patient, an 11-year-old child, revealed a left renal cyst with hypertension (155/116 mmHg). There were no related symptoms. Routine urine and blood biochemical examinations showed no abnormalities. Imaging revealed left renal cyst compression causing the hypertension. She underwent renal cyst fluid aspiration and injection of a sclerosing agent into the capsule, but her blood pressure increased again 3 days postoperatively. Color Doppler ultrasonography showed that the size of the left renal cyst was the same as that preoperatively. To further confirm the diagnosis, cystoscopic retrograde ureteropyelography was performed to confirm the diagnosis of renal calyx diverticulum. Subsequently, renal calyceal diverticulum resection and calyx neck enlargement were performed. The operation went smoothly and the blood pressure returned to normal postoperatively. No abnormalities were noted at the 7-month postoperative follow-up. CONCLUSION: There exists an association between renal calyx diverticulum and hypertension. Therefore, hypertension can be considered a surgical indication for renal calyx diverticulum. Moreover, renal calyceal diverticulum in children can be easily misdiagnosed as a renal cyst. Therefore, it is important to be vigilant to prevent a series of complications, such as postoperative urine leakage, in such cases. BioMed Central 2022-01-11 /pmc/articles/PMC8750799/ /pubmed/35016649 http://dx.doi.org/10.1186/s12887-021-03081-5 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Zhao, Yongxiang
Zhang, Ruimin
Yun, Ye
Wu, Xiangming
Li, Haowei
Wang, Jun
Wang, Wei
Jia, Chunmei
Song, Hongcheng
A case report of renal calyceal diverticulum with hypertension in children and review of literature
title A case report of renal calyceal diverticulum with hypertension in children and review of literature
title_full A case report of renal calyceal diverticulum with hypertension in children and review of literature
title_fullStr A case report of renal calyceal diverticulum with hypertension in children and review of literature
title_full_unstemmed A case report of renal calyceal diverticulum with hypertension in children and review of literature
title_short A case report of renal calyceal diverticulum with hypertension in children and review of literature
title_sort case report of renal calyceal diverticulum with hypertension in children and review of literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8750799/
https://www.ncbi.nlm.nih.gov/pubmed/35016649
http://dx.doi.org/10.1186/s12887-021-03081-5
work_keys_str_mv AT zhaoyongxiang acasereportofrenalcalycealdiverticulumwithhypertensioninchildrenandreviewofliterature
AT zhangruimin acasereportofrenalcalycealdiverticulumwithhypertensioninchildrenandreviewofliterature
AT yunye acasereportofrenalcalycealdiverticulumwithhypertensioninchildrenandreviewofliterature
AT wuxiangming acasereportofrenalcalycealdiverticulumwithhypertensioninchildrenandreviewofliterature
AT lihaowei acasereportofrenalcalycealdiverticulumwithhypertensioninchildrenandreviewofliterature
AT wangjun acasereportofrenalcalycealdiverticulumwithhypertensioninchildrenandreviewofliterature
AT wangwei acasereportofrenalcalycealdiverticulumwithhypertensioninchildrenandreviewofliterature
AT jiachunmei acasereportofrenalcalycealdiverticulumwithhypertensioninchildrenandreviewofliterature
AT songhongcheng acasereportofrenalcalycealdiverticulumwithhypertensioninchildrenandreviewofliterature
AT zhaoyongxiang casereportofrenalcalycealdiverticulumwithhypertensioninchildrenandreviewofliterature
AT zhangruimin casereportofrenalcalycealdiverticulumwithhypertensioninchildrenandreviewofliterature
AT yunye casereportofrenalcalycealdiverticulumwithhypertensioninchildrenandreviewofliterature
AT wuxiangming casereportofrenalcalycealdiverticulumwithhypertensioninchildrenandreviewofliterature
AT lihaowei casereportofrenalcalycealdiverticulumwithhypertensioninchildrenandreviewofliterature
AT wangjun casereportofrenalcalycealdiverticulumwithhypertensioninchildrenandreviewofliterature
AT wangwei casereportofrenalcalycealdiverticulumwithhypertensioninchildrenandreviewofliterature
AT jiachunmei casereportofrenalcalycealdiverticulumwithhypertensioninchildrenandreviewofliterature
AT songhongcheng casereportofrenalcalycealdiverticulumwithhypertensioninchildrenandreviewofliterature