tailieunhanh - Báo cáo y học: "The diagnostic dilemma of a multilocular renal cyst: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: The diagnostic dilemma of a multilocular renal cyst: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report The diagnostic dilemma of a multilocular renal cyst a case report Gaural Patel Muhammad Choudhry and Kokila Lakhoo Address Children s Hospital Oxford and University of Oxford Headley Way Oxford OX3 9DU UK Email Gaural Patel - gauralpatel@ Muhammad Choudhry-shaur2@ Kokila Lakhoo - Corresponding author Published 15 October 2009 Received 14 August 2008 Journal of Medical Case Reports 2009 3 79 doi l752-l947-3-79 Accepted 15 October 2009 This article is available from http content 3 1 79 2009 Patel et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Renal cysts presenting in childhood are rare. Historically renal cysts have been subject to variable nomenclature which has contributed to diagnostic difficulties. They can occur as solitary unilateral or multiple lesions. Cysts can be further classified according to loculation communications within the structure and tissue types present. Case presentation We report the case of a 15-month-old Caucasian boy presenting with abdominal distension as the only clinical symptom. On examination an ill-defined abdominal mass was found. This was confirmed on ultrasound to be a multiseptated cystic mass with a solid element arising from the right side of the abdomen. Despite further imaging the origin of the mass could not be identified. The mass was suspected of malignancy but all blood tests and tumour markers were normal. The mass proved to be a diagnostic challenge. The renal origin of the mass was only confirmed at surgery. Conclusion Imaging appears to be unreliable in differentiating benign cysts .

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