Calyceal diverticulum

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Recurrent urinary tract infection and right flank dull pain for the last 4 years.

Patient Data

Age: 20 years
Gender: Male
Fluoroscopy

Intravenous urography image in the pyelogram phase (15 minutes after IV contrast injection) shows middle and lower calyxes stretching. Delayed images show well opacification of a large calyceal diverticulum.

Case Discussion

A calyceal diverticulum is a cystic cavity filled with urine that connects to the collecting system via a narrow isthmus. It can be found incidentally or cause symptoms.

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