Miguélez Lago C, López Ruiz P, González Hermoso C
Arch Esp Urol. 1980 Mar-Apr;33(2):193-204.
The authors present the case of a three-year old girl in whose left kidney, they observed a cystic image communicating with a calyx. The authors class the said lesion as a simple, renal cyst open to ducts. They make a differential diagnosis with other entities (calicial diverticulum, hydrocalicosis, hydatidic cyst and kidney tumour) on the basis of histological, radiological and clinical findings. To reach the same, they assess the structure of the cyst epithelium which is at all times simple cuboid; the radiographic image and the intravenous urography by filling the cyst cavity retrogressively with contrast and the record of macroscopic hematuria which would correspond to the rupture of the cyst in the excretory duct. The suggest a traumatic origin in the mechanism which opened the cyst into the excretory duct.
作者介绍了一名三岁女童的病例,他们在其左肾中观察到一个与肾盏相通的囊性影像。作者将该病变归类为一个通向导管的单纯性肾囊肿。他们根据组织学、放射学和临床检查结果,与其他病症(肾盏憩室、肾盂积水、包虫囊肿和肾肿瘤)进行鉴别诊断。为此,他们评估了囊肿上皮的结构,其始终为单层立方上皮;通过造影剂逆行充盈囊肿腔的影像学图像和静脉肾盂造影,以及与囊肿在排泄管中破裂相对应的肉眼血尿记录。他们推测囊肿通向排泄管的机制有创伤性起源。