An infected renal cyst communicating with the urinary tract : a case report

A 36-year-old man presented with fever and right backache. Abdominal computed tomographic scan revealed a right renal cyst, with a maximum diameter of 12 cm, and surrounded by a hyperdense area of perirenal fat tissue. The cyst appeared to be infected. Accordingly, we performed a percutaneous punctu...

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Détails bibliographiques
Publié dans:Hinyokika kiyo. Acta urologica Japonica. - 1962. - 60(2014), 10 vom: 13. Okt., Seite 485-8
Auteur principal: Takeuchi, Nobuyoshi (Auteur)
Autres auteurs: Fujimura, Masaaki, Sekita, Nobuyuki, Suzuki, Hiroyoshi, Mikami, Kazuo
Format: Article
Langue:Japanese
Publié: 2014
Accès à la collection:Hinyokika kiyo. Acta urologica Japonica
Sujets:Case Reports English Abstract Journal Article Review
Description
Résumé:A 36-year-old man presented with fever and right backache. Abdominal computed tomographic scan revealed a right renal cyst, with a maximum diameter of 12 cm, and surrounded by a hyperdense area of perirenal fat tissue. The cyst appeared to be infected. Accordingly, we performed a percutaneous puncture of this cyst, and drained the fluid. The brown and cloudy fluid gradually became clear, the fluid volume increased a few days after the drainage. A communication between the infected cyst and urinary tract was suspected ; retrograde pyelography confirmed the presence of fistulas. The urine was drained, > 600 ml per day, for four weeks. Surgical resection of the cyst wall and closure of the fistulas were performed as an additional treatment. A year after the open surgical procedure, the renal cyst did not recur, and his renal function has been normal
Description:Date Completed 29.01.2015
Date Revised 13.11.2014
published: Print
Citation Status MEDLINE
ISSN:0018-1994