Document Detail


An abscess that wasn't: renal calyceal diverticulum in a student Naval aviator.
MedLine Citation:
PMID:  9715969     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The authors report a case of a 24-yr-old female Navy student pilot who presented with pyelonephritis, and on workup, was found to have two diverticula arising from calyces in her left kidney. Her infection resolved after several weeks of antibiotic therapy. She was granted a waiver to return to flight status based on the judgment that her risk of recurrent infection, sudden incapacitation, future need of surgery, and compromise of mission effectiveness were acceptably low. She has remained asymptomatic after more than 48 mo of follow-up. Renal calyceal diverticulum has not previously been discussed in the literature of aerospace medicine. The definition, anatomy, possible etiologies, epidemiology, presentation, treatment options, and aeromedical disposition, including human-machine interface issues, for calyceal diverticula are discussed. Aviators with calyceal diverticula are at increased risk of urinary tract infection and other complications; aeromedical disposition should rest on evaluation of such risk on a case-by-case basis.
Authors:
E F Feeks; T J Maino; J G Proctor; E A Bower
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Aviation, space, and environmental medicine     Volume:  69     ISSN:  0095-6562     ISO Abbreviation:  Aviat Space Environ Med     Publication Date:  1998 Aug 
Date Detail:
Created Date:  1998-10-08     Completed Date:  1998-10-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7501714     Medline TA:  Aviat Space Environ Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  785-7     Citation Subset:  IM; S    
Affiliation:
Training Air Wing FIVE, Naval Air Station Whiting Field, FL, USA.
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MeSH Terms
Descriptor/Qualifier:
Abscess / diagnosis*
Adult
Diverticulum / complications,  diagnosis*
Female
Humans
Kidney Calices*
Kidney Diseases / complications,  diagnosis*
Military Personnel*
Pyelonephritis / etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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