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[A simple kidney cyst in childhood]
J Morales Concepción1, E Cordiés Jackson, M Stuart León
1Servicio de Urología, Hospital Pediátrico de Centro Habana, Ciudad de La Habana, Cuba.
Insights
This case report details a rare instance of an infected simple renal cyst in a 6-year-old girl. Successful surgical intervention resolved recurrent symptoms, highlighting a unique pediatric kidney infection presentation.
Area of Science:
- Pediatric Nephrology
- Surgical Urology
- Infectious Diseases
Background:
- Simple renal cysts are typically benign and asymptomatic in children.
- Infection of simple renal cysts is an uncommon clinical presentation.
- Recurrent symptoms and diagnostic uncertainty necessitate thorough evaluation.
Observation:
- A 6-year-old girl presented with recurrent acute infectious syndrome and right lumboabdominal pain.
- Ultrasound revealed a simple right renal cyst with intracystic cellular elements.
- Despite antimicrobial treatment, symptoms persisted, raising concerns for abscess or tumor.
Findings:
- Surgical intervention, including cyst drainage and resection, was performed due to recurrent symptoms and suspicion of intracystic pathology.
- Histopathological examination of the cyst was not detailed in the abstract.
- The patient remained asymptomatic 10 months post-surgery.
Implications:
- This case highlights the importance of considering and managing infected simple renal cysts in pediatric patients.
- Surgical management can be effective for symptomatic or complicated simple renal cysts.
- Further research into the pathogenesis and optimal management of infected renal cysts is warranted.
Objective:
To report on a 6-year-old patient with an infected simple renal cyst.
Methods/Results:
A 6-year-old girl was admitted on three occasions for acute infectious syndrome and right lumboabdominal pain. The ultrasound scans showed a simple cyst in the right kidney which contained cellular elements. The patient was treated with antimicrobials on each occasion and the symptoms disappeared a few days later. On her third admission surgery was decided due to the recurrent clinical symptoms, a persistently high erythrocyte sedimentation rate and the presence of intracystic cellular elements, which raised the suspicion of intracystic abscess or tumor. The patient was submitted to surgery; the cyst was drained, resected and the internal wall marsupialized. The postoperative period was unremarkable and the patient is asymptomatic 10 months after surgery.
Conclusion:
The case described herein is uncommon; to our knowledge, a similar case has not been reported in the literature.