Cases reported "Pancreatic Cyst"

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11/21. Polycystic kidneys, pancreatic cysts, and cystadenomatous bile ducts in the oral-facial-digital syndrome type I.

    Oral-facial-digital syndrome type I is a group of X-linked dominant conditions, lethal in utero in male individuals. Internal anomalies are less well documented than are external findings. We report a case of typical phenotype and absent family history of kidney disease in a 15-year-old white girl (46,XX) who died of renal failure and massive cerebral hemorrhage. At necropsy, the kidneys were greatly enlarged but of fairly normal shape. The cortex was replaced by thin-walled spherical cysts, 0.5 to 2.0 cm in diameter; the majority of the smaller cysts were located deep in the cortex, and the medulla contained lesser numbers of larger cysts. No distal urinary tract obstruction was present. microdissection revealed cysts and diverticula located in all segments of the nephrons and collecting ducts. Uninvolved nephrons showed diffuse hypertrophy. These findings were correlated with immunoperoxidase stains using peanut lectin, lotus tetragonolobus agglutinin, antibodies to cytokeratins, stage-specific embryonic antigen-1, Tamm-Horsfall protein, and epithelial membrane antigen. Other visceral anomalies included biliary cystadenomatous proliferation in the liver and pancreatic cysts. The renal changes are similar to those of autosomal dominant (adult-type) polycystic disease.
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keywords = kidney disease, kidney
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12/21. Autosomal dominant polycystic kidney disease with liver and pancreatic involvement in early childhood.

    In a patient with autosomal dominant polycystic kidney disease, liver and kidney cysts were found by biopsy at the age of 8 months. Computed tomography at the age of 16 years confirmed the presence of liver and kidney cysts and also revealed pancreatic cysts. Such early onset of liver cysts in a patient with autosomal dominant polycystic kidney disease has not been reported previously.
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ranking = 5.4916920146157
keywords = kidney disease, kidney
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13/21. pancreatic pseudocyst rupture into the renal collecting system.

    Pseudocyst formation is a well-recognized complication of pancreatitis. Involvement of a pseudocyst with the kidney is rare. We report an unusual case of a pancreatic pseudocyst with rupture into the renal collecting system. The surgical management of this problem is described and the world-wide experience is reviewed briefly.
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ranking = 0.018153856620868
keywords = kidney
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14/21. Renal pseudoenlargement due to masses in posterior pararenal space.

    Two patients presenting with acute flank pain had unilateral smooth enlargement of a kidney on excretory urography with associated attenuation of the collecting system. This presentation suggested intrinsic renal disease, but sonography showed the urographic findings to be due in each case to a mass in the posterior pararenal space. By displacing the kidney anteriorly and away from the x-ray film, such masses will result in radiographic enlargement of the renal outline, i.e., renal pseudoenlargement. The distinction between true renal enlargement and pseudoenlargement may be made by sonography.
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ranking = 0.036307713241735
keywords = kidney
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15/21. Perirenal pancreatic pseudocysts: diagnostic management.

    Three cases of pancreatic pseudocysts involving the kidney are presented in which clinical findings or diagnostic imaging favored intrinsic renal disease. Correct diagnosis was established in all cases by sonographically guided cyst aspiration with amylase determinations on the cyst fluid. In addition, laboratory studies ruled out infection, a well known complication of pancreatic pseudocysts. The findings were instrumental in guiding clinical management and insuring correctly timed and properly guided surgical intervention. It is concluded that any patient with a fluid collection in the kidney region may have a pancreatic pseudocyst even without a clear-cut history of pancreatitis or trauma. Fine-needle aspiration is safe and efficacious, and laboratory analysis of cyst fluid should always include amylase determination, in addition to bacteriologic and cytologic evaluation, even if serum amylase is normal.
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ranking = 0.036307713241735
keywords = kidney
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16/21. Unusual pelvic complications of a pancreatic pseudocyst.

    Pancreatic pseudocysts are notorious for their extension beyond the normal confines of the pancreatic bed. Their inferior extension has been known to involve kidney and ureter. However, involvement of the bladder and rectum is unique although understandable on anatomic grounds. We report an enormous pseudocyst with extension deep into the pelvis to displace both rectum and bladder.
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ranking = 0.018153856620868
keywords = kidney
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17/21. Subcapsular pancreatic pseudocyst of the kidney.

    Pancreatic pseudocysts are a well-known complication of pancreatitis and may occur in unusual locations. We report a case of a child with hereditary pancreatitis who developed a subcapsular pseudocyst of the left kidney. The constellation of findings of calcific pancreatitis and a left renal subcapsular fluid collection should raise the possibility of a subcapsular pseudocyst.
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ranking = 0.090769283104338
keywords = kidney
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18/21. Gray scale ultrasonography in the diagnosis of pseudocysts of the pancreas simulating renal pathology.

    ultrasonography has proved to be a reliable tool in the diagnosis of pseudocysts. A case is reported of a patient with a pseudocyst in the transverse mesocolon adjacent to the left kidney and spleen. Initial examination by computerized tomography and angiography failed to visualize the mass, while a renal cyst was simulated on nephrotomography. Repeat ultrasound examinations showed progressive increases in the size of the pseudocyst. This diagnosis was confirmed at operation. We believe that ultrasound is the modality of choice in patients with clinical suspicion of a pseudocyst.
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ranking = 0.018153856620868
keywords = kidney
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19/21. Acute pancreatitis, pancreatic pseudocyst, and candida peritonitis in recipient of a kidney transplant.

    The case of a recipient of a kidney transplant who developed pancreatitis, complicated by pancreatic pseudocyst subsequently infected by Candidi from an infected parenteral alimentation line, is reported. The case was further complicated by rupture of the cyst leading to candida peritonitis and development of multiple fistulous tracts between the stomach, ileum, and colon. Despite the 50% mortality of acute pancreatitis in patients with transplants and the 50% mortality reported in candida peritonitis, the patient was successfully treated by cystogastrostomy, peritoneal lavage, and amphotericin b in association with administration of mannitol and reduction of immunosuppression to a minimal level. After eight weeks of total parenteral alimentation, the fistulous tracts spontaneously closed and the patient was discharged with normal renal function.
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ranking = 0.090769283104338
keywords = kidney
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20/21. Chronic obstructive pancreatitis due to a pancreatic cyst in a patient with autosomal dominant polycystic kidney disease.

    BACKGROUND: Autosomal dominant polycystic kidney disease, the most frequent inherited polycystic disease, is a systemic disorder characterised by the development of numerous and bilateral kidney cysts leading to chronic renal failure. Extrarenal cysts are located mainly in the liver but also in various organs including the pancreas. To our knowledge, complications of pancreatic cysts in this disease have never been reported. PATIENT: The first case of painful chronic obstructive pancreatitis due to a true pancreatic cyst in a patient with autosomal dominant polycystic kidney disease is reported. Abdominal transparietal and endoscopic ultrasonography, computed tomography, and endoscopic retrograde cholangiopancreatography showed a cystic lesion in the body of the pancreas associated with upstream dilatation of the main pancreatic duct. Intraoperative ultrasonography before and after cyst fluid aspiration, and pancreatography and pathological examination of the resected distal pancreas confirmed that both main pancreatic duct enlargement and chronic pancreatitis were caused by a benign cyst. CONCLUSION: Chronic obstructive pancreatitis should be added to the extrarenal complications of autosomal dominant polycystic kidney disease.
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ranking = 5.4916920146157
keywords = kidney disease, kidney
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