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Microscopic Cyst Resection for the Treatment of Patients Diagnosed with Epididymal Cyst
Published on: March 31, 2023
A case report of renal cyst communication regression secondary to hydroureteronephrosis decompression
Jerry Yue1, Nathan Zhang1, Matthew Nwerem2
1Transitional Year, Northeast Georgia Medical Center, 743 Spring Street NE, Gainesville, GA 30501, USA.
Abstract:
Renal cysts, which are commonly detected incidentally on imaging, often remain asymptomatic. A small percentage may lead to complications such as hemorrhage, infection, or mass effect. This can cause elevated intrapelvic pressure and possible spontaneous rupture, which can establish a communication with the calyceal system. This report presents the case of a 79-year-old male with urothelial carcinoma who developed right-sided hydronephrosis secondary to obstructive malignancy. CT and fluoroscopic imaging revealed a large urinoma with a communication between the collecting system and adjacent renal cyst. Following nephrostomy tube decompression, the presence of contrast within the renal cyst that helped establish the initial communication disappeared and was unable to be re-established. This disappearance contrasts the continued communication seen with typical renal cyst communications and may have occurred due to possible pressure related mechanisms.
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