Twardy Sean, Zepeda Seti, Kumar Harjinder
School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, USA.
Internal Medicine, Walter Reed National Military Medical Center, Bethesda, USA.
Cureus. 2025 Aug 5;17(8):e89442. doi: 10.7759/cureus.89442. eCollection 2025 Aug.
Renal cysts are common, typically asymptomatic, fluid-filled sacs that rarely require intervention. Nevertheless, in rare cases, large symptomatic cysts can cause significant morbidity. We report the case of an 87-year-old man presenting to the emergency department with right chest wall pain following a ground-level fall, accompanied by worsening nausea, vomiting, and decreased oral intake over 6-7 months. A computed tomography scan revealed a massive right-sided renal cyst (18.6 cm x 11.5 cm x 6 cm) causing displacement of abdominal contents through mass effect. Following consultation with Urology and Interventional Radiology, percutaneous aspiration was performed, resulting in symptom resolution. This case underscores the rare presentation of a massive renal cyst with chest pain and gastrointestinal symptoms, highlighting the need to consider this diagnosis in similar clinical scenarios and the efficacy of percutaneous aspiration as a minimally invasive treatment.
肾囊肿很常见，通常无症状，是充满液体的囊，很少需要干预。然而，在罕见情况下，大的有症状囊肿可导致严重发病。我们报告一例87岁男性，因平地摔倒后出现右胸壁疼痛而就诊于急诊科，同时伴有6至7个月来恶心、呕吐加重及口服摄入量减少。计算机断层扫描显示一个巨大的右侧肾囊肿（18.6厘米×11.5厘米×6厘米），通过占位效应导致腹腔内容物移位。经泌尿外科和介入放射科会诊后，进行了经皮抽吸，症状得以缓解。该病例强调了巨大肾囊肿伴胸痛和胃肠道症状的罕见表现，突出了在类似临床情况下考虑这一诊断的必要性以及经皮抽吸作为一种微创治疗的有效性。
