Clinic of Urology, Institute for Urology and Nephrology, Clinical Center of Serbia, Belgrade, Serbia.
Ren Fail. 2011;33(2):249-51. doi: 10.3109/0886022X.2011.552148.
The case of giant renal cyst measuring 30 cm, accompanied by abdominal swelling and erythrocytosis, is presented. A 45-year-old male presented with large abdominal mass, atrophic left kidney, hypertension, and erythrocytosis. The patient underwent multiple preoperative phlebotomies, open extirpation of the cyst, and nephrectomy. After the surgery, erythrocytosis ceased completely, blood pressure became normal without any medications whereas function of the remaining kidney was stable. The giant renal cysts measuring more than 15 cm are extremely rare. However, they can cause erythrocytosis and hypertension very frequently, especially in the case of cysts originating from the proximal tubule. To our knowledge, this is the largest renal cyst published in the literature that caused the above-mentioned complications.
本文报告了一例 30 厘米大小的巨大肾囊肿病例，伴有腹部肿胀和红细胞增多症。一名 45 岁男性因巨大腹部肿块、左肾萎缩、高血压和红细胞增多症就诊。患者接受了多次术前放血、囊肿开放性切除术和肾切除术。手术后，红细胞增多症完全停止，血压在没有任何药物治疗的情况下恢复正常，而剩余肾脏的功能保持稳定。直径超过 15 厘米的巨大肾囊肿极为罕见。然而，它们非常频繁地引起红细胞增多症和高血压，特别是在囊肿起源于近端小管的情况下。据我们所知，这是文献中报道的引起上述并发症的最大的肾囊肿。
