Giant renal cyst complicated with acquired crossed renal ectopia, hypertension and renal cell carcinoma: case report and review of the literature.
Simple renal cysts are acquired kidney lesion that are described as spherical, smoothed surfaced, with a serous, sub-yellow content. They are generally considered as a harmless anomaly, however cases of complicated renal cysts have been reported. We present a case of an enormous renal cyst (the biggest ever described) containing more than 25 L of fluid mimicking ascites, complicated with controlateral displacement of ipsilateral functional kidney and intra-abdominal organs, renal cell carcinoma and hypertension. Particular attention is carried in the analysis of the literature about different aspects of giant renal cysts like the ability to grow to a very giant size, the association with hypertension and renal cell carcinoma, the sensibility of the most important examinations to reveals malignancy and management.
Viganò
Paolo
P
Urology Department, San Gerardo Hospital, Monza, Italy.
Picozzi
Stefano Carlo Maria
SC
Casu
Marilena
M
Manganini
Vittorio
V
Giuberti
Alfio
A
Mazza
Luciano
L
Strada
Guido Raffaele
GR
D002292:Carcinoma, Renal Cell / Q000150:complications*; D006801:Humans; D006973:Hypertension / Q000150:complications*; D007668:Kidney / Q000002:abnormalities*; D052177:Kidney Diseases, Cystic / Q000150:complications* / Q000473:pathology; D007680:Kidney Neoplasms / Q000150:complications*; D008297:Male; D008875:Middle Aged