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RESEARCH ARTICLE

A Complicated “Simple” Renal Cyst

Daphne M. Harrington1 , * Open Modal Alexa S. Meara2 Tushar Vaccharajani3 Tejas Desai4 Authors Info & Affiliations
The Open Urology & Nephrology Journal • 16 Nov 2012 • RESEARCH ARTICLE • DOI: 10.2174/1874303X01205010035

Abstract

Background:

Simple renal cysts are usually asymptomatic and benign. Rarely, symptoms and complications can develop from local mass effect which is illustrated by this case.

Case Presentation:

77 year old Caucasian male presents with abdominal pain for five days. Abdominal exam was diffusely tender, markedly distended, tympanic with absent bowel sounds. His work-up included an abdominal x-ray showing a colonic obstruction and abdominal CT showing a large 27 cm renal cyst. Drainage of the renal cyst resolved obstructive symptoms.

Conclusion:

A simple renal cyst should not be overlooked as the reason for acute abdominal pain. Simple renal cysts, though benign are not without complications.

Keywords:: Cystic kidney diseases, intestinal obstruction, abdominal pain, colon.
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