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Obstructive jaundice and renal masses
Archives of Surgery (Chicago, Ill. : 1960)
|May 11, 1976
Summary
A simple renal cyst caused obstructive jaundice and duodenal obstruction in an 82-year-old patient. Aspiration of the cyst relieved symptoms, highlighting this rare presentation of renal cysts.
Area of Science:
- Nephrology
- Gastroenterology
- Medical Imaging
Background:
- Obstructive jaundice and duodenal obstruction are typically caused by biliary or pancreatic pathologies.
- Renal cysts are common, but rarely present with symptoms related to biliary or duodenal compression.
Observation:
- An 82-year-old male presented with obstructive jaundice and partial duodenal obstruction.
- Symptoms were attributed to a simple renal cyst compressing adjacent structures.
- Initial aspiration of 1,750 ml of fluid provided symptomatic relief.
Findings:
- The patient experienced recurrent symptoms over five years, necessitating repeat aspiration.
- Jaundice secondary to a simple renal cyst is an exceptionally rare clinical finding.
- Epigastric fullness was the primary symptom upon recurrence.
Implications:
- This case underscores the importance of considering rare etiologies for common symptoms.
- Simple renal cysts, though usually asymptomatic, can rarely cause significant gastrointestinal and biliary compromise.
- Further investigation into the mechanisms of cyst-induced obstruction may be warranted.