Dibas Yazan, Obeid Amal, Abosleem Abdelrahman, Dibas Jana, Sawaftah Zaid
Department of Radiology, Al-Makassed Islamic Charitable Hospital, East Jerusalem, Palestine.
Department of General Surgery, Al-Makassed Islamic Charitable Hospital, East Jerusalem, Palestine.
Radiol Case Rep. 2025 May 21;20(8):3921-3925. doi: 10.1016/j.radcr.2025.04.088. eCollection 2025 Aug.
Renal cysts are common, particularly in individuals over 50, and are often asymptomatic. Spontaneous rupture of these cysts, especially without trauma, is a rare occurrence. We present the case of a 51-year-old female with a history of recurrent deep vein thrombosis, who initially presented with symptoms of abdominal pain, nausea, and dysuria, which were attributed to a urinary tract infection caused by . Despite treatment with antibiotics, her condition worsened, and further imaging revealed a 4.5 cm renal cyst with features suggestive of rupture. After percutaneous aspiration of the cyst, the culture results revealed , confirming the diagnosis of spontaneous rupture of an infected renal cyst. The patient showed significant improvement with continued antibiotic therapy. This case underscores the rarity of spontaneous renal cyst rupture in the setting of an active urinary tract infection and highlights the importance of early recognition and appropriate management to ensure favorable outcomes.
肾囊肿很常见，尤其是在50岁以上的人群中，且通常无症状。这些囊肿的自发破裂，尤其是在无创伤的情况下，是罕见的事件。我们报告一例51岁女性病例，该患者有复发性深静脉血栓形成病史，最初表现为腹痛、恶心和排尿困难症状，这些症状归因于由……引起的尿路感染。尽管使用抗生素治疗，她的病情仍恶化，进一步影像学检查发现一个4.5厘米的肾囊肿，具有提示破裂的特征。在经皮抽吸囊肿后，培养结果显示……，证实了感染性肾囊肿自发破裂的诊断。患者在持续抗生素治疗后有显著改善。该病例强调了在活动性尿路感染情况下自发肾囊肿破裂的罕见性，并突出了早期识别和适当管理以确保良好预后的重要性。
