Hoang VT, Hoang TH, Nguyen TTT, Trinh CT, Chansomphou V, Hoang DT. Traumatic Kidney in a Patient With Unilateral Renal Cystic Disease.
J Investig Med High Impact Case Rep 2022;
10:23247096221089495. [PMID:
35382616 PMCID:
PMC8990544 DOI:
10.1177/23247096221089495]
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Abstract
Renal trauma occurring in patients with unilateral renal cystic disease (URCD) is
extremely rare. Unilateral renal cystic disease is benign, nonprogressive, nonfamilial,
nonencapsulated, and unrelated to cysts in other organs. It should be differentiated from
autosomal dominant polycystic kidney disease (ADPKD) parenthesis, multicystic dysplastic
kidney disease, multiple renal simple cysts, and cystic renal neoplasms. We report a case
of a 15-year-old male with URCD admitted to the hospital sustaining blunt trauma to his
right flank after a motor vehicle crash. Final diagnosis in this case was renal injury in
a URCD patient. The patient was treated conservatively and subsequently discharged.
Unilateral renal cystic disease can be diagnosed and followed by a combination of imaging
methods and functional studies. The management of URCD is conservative. Although the
disease is stable, nephrectomy may occasionally be indicated when there is a strong
suspicion for malignancy.
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