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A giant left renal cyst presenting as obesity: a unique presentation
J A Brown1, J W Segura, M L Blute
1Department of Urology, Mayo Clinic, Rochester, Minnesota 55905, USA.
Archivos Espanoles De Urologia
|April 29, 1998
Summary
A rare giant renal cyst, over 15 cm, presented uniquely as obesity in a 78-year-old male. This case highlights unusual presentations of benign renal cysts and effective surgical treatment.
Area of Science:
- Nephrology
- Urology
- Radiology
Background:
- Benign renal cysts are common in adults.
- Giant renal cysts (>15 cm or >1500 cc) are rare.
- Unusual presentations can delay diagnosis.
Purpose of the Study:
- To describe a unique case of a giant renal cyst.
- To highlight an atypical presentation mimicking obesity.
- To discuss diagnostic and management considerations.
Main Methods:
- Case report of a 78-year-old male patient.
- Diagnosis of a 25 cm left renal cyst.
- Treatment via open renal cyst decortication.
Main Results:
- The patient presented solely with diffuse abdominal distention.
- Initial diagnosis was obesity, with seven years of follow-up.
- Successful treatment achieved through surgical intervention.
Conclusions:
- Giant renal cysts are infrequent but can present atypically.
- Diffuse abdominal distention can be the sole symptom.
- Prompt diagnosis and surgical management are crucial for effective treatment.