A Complicated “Simple” Renal Cyst
Daphne M. Harrington1, *, Alexa S. Meara2, Tushar Vaccharajani3 , Tejas Desai4
Identifiers and Pagination:Year: 2012
First Page: 35
Last Page: 39
Publisher Id: TOUNJ-5-35
Article History:Received Date: 19/9/2012
Revision Received Date: 18/10/2012
Acceptance Date: 18/10/2012
Electronic publication date: 16 /11/2012
Collection year: 2012
open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
Simple renal cysts are usually asymptomatic and benign. Rarely, symptoms and complications can develop from local mass effect which is illustrated by this case.
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.
A simple renal cyst should not be overlooked as the reason for acute abdominal pain. Simple renal cysts, though benign are not without complications.