Parapelvic cyst of kidney.
- Author:
Ze-liang LI
1
;
Chui-ze KONG
;
Yi WANG
;
Jian-bin BI
;
Dan-yi ZHAO
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Diagnosis, Differential; Female; Humans; Kidney Diseases, Cystic; diagnosis; etiology; surgery; Kidney Pelvis; Male; Middle Aged; Prognosis; Tomography, X-Ray Computed
- From: Chinese Journal of Surgery 2003;41(3):208-210
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo study the clinical features, treatment and diagnosis of parapelvic cyst.
METHODSTwenty-three patients of parapelvic cyst of the kidney were reviewed retrospectively. Fourteen cases (61%) complained of lumbar pain or discomfort, and 4 patients (17%) accompany hematuria and hypertension.
RESULTSIn 15 patients receiving surgery, 2 were treated by nephrectomy, one by radical nephrectomy for misdiagnosis. Postoperative diagnosis confirmed a cyst. Eight patients were treated conservatively for cyst being small and without clinical symptoms. Nineteen cases were followed up for 0.5 - 12.0 years.
CONCLUSIONSUltrasonography and CT scan are the main diagnostic methods. Enhanced CT is extremely helpful in differential diagnosis of hydronephrosis. Surgical management is suitable for big cysts, lumbar pain, hematuria, hypertension and other complications.
