一例表现为肥胖的巨大左肾囊肿：一种独特的表现。
A giant left renal cyst presenting as obesity: a unique presentation.
作者信息
Brown J A, Segura J W, Blute M L
机构信息
Department of Urology, Mayo Clinic, Rochester, Minnesota 55905, USA.
出版信息
Arch Esp Urol. 1998 Jan-Feb;51(1):105-7.
OBJECTIVE
Benign renal cysts are commonly found in adult patients. However, giant renal cysts measuring more than 15 cm in greatest diameter or containing more than 1500 cc of fluid are rarely seen. A giant renal cyst presenting as obesity, a unique form of presentation, is described herein.
METHODS/RESULTS: We report the unique case of 78-year-old male who was diagnosed with a 25 cm left renal cyst after presenting solely with diffuse progressive abdominal distention. He had no other signs or symptoms and had been followed at our institution for seven years with a diagnosis of obesity. The patient was effectively treated by open renal cyst decortication.
CONCLUSIONS
Giant renal cyst measuring > or = 15 cm or containing more than 1500 cc of fluid rarely occur. This case is unique in that unlike other adult patients, this patient presented with no sign or symptom other than diffuse, nonlateralizing, abdominal distension.
目的
良性肾囊肿在成年患者中很常见。然而，最大直径超过15厘米或含有超过1500立方厘米液体的巨大肾囊肿很少见。本文描述了一例以肥胖为表现形式的独特巨大肾囊肿。
方法/结果：我们报告了一例独特病例，一名78岁男性，仅表现为弥漫性进行性腹胀，经诊断为左肾囊肿，直径达25厘米。他没有其他体征或症状，在我们机构被诊断为肥胖并随访了七年。该患者通过开放性肾囊肿剥脱术得到有效治疗。
结论
直径≥15厘米或含有超过1500立方厘米液体的巨大肾囊肿很少发生。该病例的独特之处在于，与其他成年患者不同，该患者除了弥漫性、无定位性的腹胀外没有其他体征或症状。
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