Khan Tuba, Sajjad Taha, Qureshi Hasham Masood, Fonseca Ayesha, Khan Aadil, Bano Shehar, Ezenagu Uchenna E
Medicine and Surgery, Ziauddin University, Clifton, USA.
Medical Education, Mountain Vista Medical Center (MVMC), Phoenix, USA.
Cureus. 2022 Jun 17;14(6):e26044. doi: 10.7759/cureus.26044. eCollection 2022 Jun.
A simple renal cyst can become infected spontaneously due to various modes like direct cyst penetration during biopsy or surgical exploration, hematogenous spread of infection, and retrograde infection from the urinary tract. Managing such cases becomes challenging due to the risk of rupture of the cyst, causing sequelae of bacteremia and septic shock. Aspiration of cyst along with imaging modality can strengthen the diagnosis. However, nephrectomy coupled with antibacterial administration is an updated therapeutic intervention for an infected simple renal cyst. Our patient presented with a renal cyst at each pole of the left kidney complicated by infection, and after confirming the diagnosis on computed tomography, we performed a right-sided nephrectomy after proper informed consent. The patient responded well to treatment and improved her quality of life.
单纯性肾囊肿可因多种方式而自发感染，如活检或手术探查时囊肿直接穿透、感染的血行播散以及来自尿路的逆行感染。由于囊肿有破裂风险，可导致菌血症和感染性休克等后遗症，处理此类病例具有挑战性。囊肿穿刺抽吸结合影像学检查可强化诊断。然而，肾切除术联合抗菌药物应用是治疗感染性单纯性肾囊肿的一种新的治疗干预措施。我们的患者左肾两极各有一个肾囊肿并伴有感染，在通过计算机断层扫描确诊后，经适当的知情同意后我们实施了右侧肾切除术。患者对治疗反应良好，生活质量得到改善。
