Management of a simple renal cyst in a complex patient

Mohammad Qasim Khan, Ileana Lucia Ponor, Ashley E. Ross, Waseem Khaliq

Research output: Contribution to journalArticle

Abstract

Renal cysts are generally classified as simple or complex and are further characterised under the Bosniak classification system. Most simple cysts are benign, asymptomatic and discovered incidentally. However, over time, these simple cysts can enlarge, become symptomatic and develop complications, requiring intervention. We present a case of a 70-year-old man with multiple comorbidities who presented with left lower quadrant abdominal pain and haematuria. An abdominal CT scan revealed a large, 26 cm exophytic cyst with high attenuation areas, septations and haemorrhage. Given the patient's tenuous condition and poor functional status, an interventional radiology-guided renal cyst aspiration was performed, resulting in successful reduction of size and symptom resolution. A follow-up ultrasound at 6 months showed no evidence of recurrence. Primary care providers should be aware of the prevalence of renal cysts and their complications, especially haemorrhage, particularly in high risk and elderly patients on anticoagulation or antiplatelet therapy.

Original languageEnglish (US)
JournalBMJ case reports
DOIs
StatePublished - Jun 5 2013

ASJC Scopus subject areas

  • Medicine(all)

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