Cases reported "Kidney Diseases, Cystic"

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1/6. Percutaneous antegrade pyelography in small infants and neonates.

    Percutaneous antegrade pyelography is a safe and useful alternative to retrograde pyelography in the investigation of urinary-tract malformations in the neonate or very young infant. It is preferred to arteriography in the infant with a loin mass. Satisfactory delineation of hydronephrosis or cysts is simply and directly accomplished by this method, so that more complex and less definitive investigations can often be avoided. In addition, a variety of ureteric abnormalities may be displayed.
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2/6. Giant simple renal cyst complicated with hypertension.

    Solitary renal cysts are a common and usually asymptomatic occurrence in older patients. They may be associated with hypertension or abdominal disturbances, as they can be responsible for compression of surrounding tissues and distortion of renal vessels. This report presents an interesting case of a hypertensive patient with a solitary renal cyst of a marked size. Owing to the high risk of performing a surgical procedure in such a patient, a distinct therapeutic solution was opted for. Successful management of this case was achieved by a combination of percutaneous fluid aspiration and injection of alcohol and Vibramycin inside the cystic cavity. Percutaneous fluid evacuation combined with the administration of a sclerosing agent is suggested as a safe and effective alternative for cyst decompression and blood pressure normalisation.
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3/6. carcinoma in a renal cyst: computed tomography diagnosis.

    We report a case of carcinoma in a renal cyst diagnosed by computed tomography. Ultrasound was unavailable because of scheduling difficulties and computed tomography provided a useful alternative in identifying the cystic and solid features of the mass. There was a good correlation of the computed tomography scan with pathology except for a small tumor nodule at the base of the cyst, which was not seen on the scan.
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4/6. Massive intraperitoneal hemorrhage associated with renal pathology.

    We report on 2 patients who presented with massive intraperitoneal hemorrhage. In spontaneous renal hemorrhage there is often an underlying pathological condition, usually renal carcinoma. The investigation of choice is computerized tomography, while arteriography is reserved for cases in which no renal mass is found. nephrectomy may be life-saving but conservative treatment is an acceptable alternative when the underlying pathological condition is benign and the patient is in stable condition.
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5/6. Special considerations in the technique of laparoscopic ureterolithotomy.

    Laparoscopic ureterolithotomy was performed in 2 men, accompanied in 1 by unroofing of a complex renal cyst. This new technique is indicated as an alternative to open lithotomy when more conventional minimally invasive measures have failed and in patients in whom laparoscopy is being performed for another indication. Modifications in technique are necessary depending on the location of the stone. Laparoscopic ureterolithotomy should not be performed unless a guide wire or catheter can be placed past the stone preoperatively. The technique is described in detail.
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6/6. Laparoscopic marsupialization of a simple renal cyst.

    An 8 cm. symptomatic simple renal cyst, recurrent despite previous aspiration and injection of sclerosing agents, was marsupialized using laparoscopic techniques. No complications occurred and followup by ultrasonography confirmed resolution of the lesion. We suggest that laparoscopic management of symptomatic simple renal cysts may be an attractive alternative to open surgical techniques.
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