scholarly journals Intraperitoneal marsupialization of a giant para-pelvic renal cyst: A case report

2014 ◽  
Vol 8 (11-12) ◽  
pp. 872 ◽  
Author(s):  
Abdul Rehman ◽  
Muhammad Awais ◽  
Noor Ul-Ain Baloch ◽  
Hammad M Ather
Keyword(s):  
Case Report ◽  
Renal Cyst ◽  
Renal Cysts ◽  
Young Female ◽  
Open Approach ◽  
Cystic Lesions ◽  
Type Ii ◽  
Technical Challenge ◽  
Feasible Option

Simple renal cysts are among the most common cystic lesions of the kidney. Renal cysts most often remain asymptomatic, but rarely these cysts may become huge in size and result in significant symptoms. Giant renal cysts present a technical challenge in terms of surgical management. Although laparoscopic procedures have been performed successfully at experienced centres, intraperitoneal marsupialization via open approach may be a feasible option at less experienced centres. We report a case of a young female with a giant (24 × 18 cm) renal cyst of Bosniak type-II variety. De-roofing and intraperitoneal marsupialization of the cyst was performed. At the 1-year follow-up, she was asymptomatic, with no residual cyst.

scholarly journals Parenchymal mucinous cystadenoma of the kidney: a case report and literature review

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Mahmoudreza Kalantari ◽  
Shakiba Kalantari ◽  
Mahdi Mottaghi ◽  
Atena Aghaee ◽  
Salman Soltani ◽  
...  
Keyword(s):  
Renal Cyst ◽  
Left Kidney ◽  
Previous History ◽  
Mucinous Cystadenoma ◽  
Single Layer ◽  
Renal Cysts ◽  
Cystic Mass ◽  
Flank Pain ◽  
History Of

Abstract Background Mucinous cystadenoma (MC) of the kidney is exceedingly rare. We found 22 similar cases in the literature. These masses are underdiagnosed due to radiologic similarities with simple renal cysts. Case presentation A 66-year-old man with a previous history of hypertension and anxiety was referred to our tertiary clinic with left flank pain. Ultrasound revealed a 60 mm-sized, complex cystic mass with irregular septa in the lower pole of the left kidney (different from last year's sonographic findings of a simple benign cyst with delicate septa). CT scan showed the same results plus calcification. Due to suspected renal cell carcinoma, a radical nephrectomy was performed. Postoperative histopathologic examination revealed a cyst lined by a single layer of columnar mucin-producing cells with small foci of pseudo-stratification, consistent with the MC’s diagnosis. The first follow-up visit showed normal blood pressure without medication and no flank pain and anxiety after a month. Conclusion It is quite challenging to distinguish the primary MC of the kidney from a simple renal cyst based on clinical and imaging findings. The radiologic features of these entities overlap significantly. Thus, complex renal cyst and renal cysts with mural nodules should be followed closely to detect malignancy earlier.

scholarly journals A giant adrenal hemorrhagic pseudocyst mimicking a parapelvic renal cyst: A case report and review of the literature

2020 ◽  
Vol 92 (3) ◽  
Author(s):  
Erhan Ates ◽  
Arif Kol ◽  
Gokce Su Gokce ◽  
Ahmet Emre Yıldız ◽  
Haluk Erol
Keyword(s):  
Case Report ◽  
Adrenal Gland ◽  
Renal Cyst ◽  
Cystic Lesions ◽  
Review Of The Literature ◽  
Cystic Masses

Adrenal pseudocysts are rare, nonfunctional, asymptomatic cystic masses that originate from the adrenal gland and are usually located in the suprarenal area. They are usually incidentally discovered during imaging, but diagnosis can be challenging because they are similar to benign and malignant cystic lesions of the adrenal gland and adjacent organs. We describe a giant, adrenal hemorrhagic pseudocyst that was atypically located, extending from the middle to the lower poles of the kidney, admixed with a renal cortical cyst.

scholarly journals Gallbladder perforation with concomitant liver abscess: a case report with a review of treatment options

2020 ◽  
Vol 7 (4) ◽  
pp. 1283
Author(s):  
Alejandro Quiroga Garza ◽  
Milton Alberto Muñoz Leija ◽  
Juan Manuel Valdivia Balderas ◽  
Santos Guzmán López ◽  
Rodrigo E. Elizondo Omaña
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Case Report ◽  
Treatment Options ◽  
Hepatic Abscess ◽  
Definitive Treatment ◽  
Gallbladder Perforation ◽  
Type Ii ◽  
Endoscopic Retrograde ◽  
Laparoscopic Drainage

Gallbladder perforation (GBP) management is still controversial in regards to time (early vs. interval), first procedure (surgical vs. drainage) and technique (laparoscopic vs. open). This is the case report of an adult patient with GBP Niemeier type II, complicated with a concomitant hepatic abscess. The patient was treated medically and with laparoscopic drainage of abscess and pyocholecistolithiasis. She was scheduled shortly after for endoscopic retrograde cholangiopancreatography, and posteriorly for definitive treatment with laparoscopic cholecystectomy 1 month later. Satisfactory postsurgical outcome, with uneventful 1-month follow-up.

scholarly journals Dentinogenesis imperfecta type II: A case report with 17 years of follow-up

2017 ◽  
Vol 47 (2) ◽  
pp. 129
Author(s):  
Francisco José Reis Gama ◽  
Isabella Sousa Corrêa ◽  
Claudia Scigliano Valerio ◽  
Emanuelle de Fátima Ferreira ◽  
Flávio Ricardo Manzi
Keyword(s):  
Case Report ◽  
Type Ii ◽  
Dentinogenesis Imperfecta

Iatrogenic ureteral injury during retroperitoneal laparoscopy for large renal cysts: What we learned and a review of the literature

2021 ◽  
Vol 29 (1) ◽  
pp. 185-196
Author(s):  
Zejian Zhang ◽  
Dong Chen ◽  
Ling Deng ◽  
Wei Li ◽  
Xisheng Wang ◽  
...  
Keyword(s):  
Renal Cyst ◽  
Large Diameter ◽  
Renal Cysts ◽  
Ureteral Injury ◽  
Ureteral Stent ◽  
Lumbar Region ◽  
Retroperitoneal Laparoscopy ◽  
Iatrogenic Ureteral Injury

PURPOSE: To avoid Iatrogenic ureteral injury during retroperitoneal laparoscopy for large renal cyst (diameter > 70 mm), we present two cases of iatrogenic ureteral injury and discuss their clinical courses and final outcomes. PATIENTS AND METHODS: Two male patients (47 years old and 74 years old) with large left simple renal cysts underwent a retroperitoneal laparoscopic operation to treat the cysts. In the first patient, the left proximal ureter was partially transected (Grade 3) during the operation. The injury was identified intraoperatively. The transection was managed with a primary ureteroureterostomy (end to end) along with a double J ureteral stent. In the second patient, the left proximalureter was partially transected (Grade 4). However, the injury was unrecognized postoperatively for two days. After recognition of the complication, the injury was managed with an early primary ureteroureterostomy, which followed a failed attempt to place ureteral stent endoscopically. RESULTS: In the first patient, a postoperative urinary leakage developed and lasted for 13 days. During long term follow-up of the first patient after the urine leak resolved, there were no reports of pain in the lumbar region or other discomfort. No recurrence of the renal cyst occurred, which was confirmed with an ultrasound at one year postoperatively. In the second patient a ureteral fistula and severe perirenal infection occurred and lasted for 86 days. The patient ultimately underwent a left nephrectomy after conservative management for this surgical complication failed. This patient developed a chronic wound infection that lasted for 3.14 months following the nephrectomy. During follow-up post nephrectomy, the patient developed stage 3B moderate chronic kidney disease (CKD) (GFR = 30 –44 ml/min). CONCLUSIONS: For single large (diameter > 70 mm) renal cysts located at the lower pole of the kidney, it is recommended to not completely dissect out and mobilize the entire renal cyst for cyst decortication in order to avoid injuring the ureter. Iatrogenic ureteral injury increases the risk of readmission and serious life-threatening complications. The immediate diagnosis and proper management ureteric injury can reduce complications and long term sequalae.

FOLLOW-UP OF COMPLEX CYSTIC LESIONS OF THE KIDNEY BOSNIAK TYPE II/IIF

2006 ◽  
Vol 5 (2) ◽  
pp. 70 ◽  
Author(s):  
P. Weibl ◽  
I. Lutter ◽  
J. Breza
Keyword(s):  
Cystic Lesions ◽  
Type Ii

scholarly journals Renal calyceal diverticulum mimicking a large renal cyst-A case report

Biomedicine ◽  
2020 ◽  
Vol 40 (3) ◽  
pp. 409-411
Author(s):  
Ravirajendran Samson ◽  
Ramasamy Neelakandan ◽  
Thirunavukkarasu Chandru ◽  
Kumaresan Natarajan
Keyword(s):  
Case Report ◽  
Renal Cyst ◽  
Transitional Cell ◽  
Renal Cysts ◽  
Retrograde Pyelogram ◽  
Calyceal Diverticulum ◽  
Ct Urogram ◽  
History Of ◽  
Loin Pain ◽  
Ct Finding

Renal calyceal diverticulum are outpouching from renal calyx or pelvis into the renal cortex lined by transitional cell epithelium. We report a case of 35 years old male with history of accidental fall from bike, who presented with persistent right loin pain and hematuria. CT Urogram showed multiple large right renal cysts (BOSNIAK II). Patient was planned laparoscopic renal cyst deroofing. Due to suspicion of calyceal diverticulum, an intraoperative Retrograde Pyelogram (RGP) was done which showed calyceal diverticulum. Laparoscopic calyceal diverticulotomy with closure of communication was done. If only a cyst deroofing was done considering the CT finding alone, it would have ended up in post-operative complication of urinoma which may require a re-surgery. This case report emphasizes the importance of anticipating calyceal diverticulum and intraoperative attempts in the form of doing RGP to identify calyceal diverticulum which mimic renal cyst regardless of CT finding in suspected cases. Keywords: Calyceal diverticulum; large renal cyst; retrograde pyelogram; laparoscopic calyceal; Diverticulotomy.

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