Intra-cystic Hematoma as a Cause of Intra Abdominal Mass
43rd Congress of the Société Internationale d’Urologie, İstanbul, Türkiye, 11 - 14 Ekim 2023, cilt.4, ss.181-182, (Özet Bildiri)
- Yayın Türü: Bildiri / Özet Bildiri
- Cilt numarası: 4
- Doi Numarası: 10.48083/vltj5687
- Basıldığı Şehir: İstanbul
- Basıldığı Ülke: Türkiye
- Sayfa Sayıları: ss.181-182
- Yozgat Bozok Üniversitesi Adresli: Evet
Özet
Intra-cystic Hematoma as a Cause of Intra Abdominal Mass. Güdük E¹, Sarı S¹,Caniklioglu M¹, Gürtan E², Selmi V', Isikay L¹, Bozanoglu V¹ ¹Yozgat Bozok University, Yozgat, Tiirkiye, ²Bayburt State Hospital, Bayburt, Türkiye Introduction and Objectives: Autosomal dominant polycystic kidney disease is the most common hereditary kidney disease and one of the most common causes of end-stage kidney disease. Large or growing renal cysts sometimes cause symptoms; palpable mass, abdominal pain, obstructive uropathy, and hematuria. Sometimes these cysts can be confused with abdominal masses. In this case report, we wanted to present a patient who presented with the complaint of flank pain and swelling in the abdomen. Materials and Methods: A 43-year-old male patient applied to our clinic with complaints of left flank pain and abdominal swelling for about 4 years. The patient with diagnosis of polycystic kidney for 10 years has been receiving dialysis for 3 years due to chronic renal failure. In the physical examination of the patient, testicles were bilaterally normal, firm mass lesion of approximately 15 cm in the midLine of the abdomen was palpated. Further examination and imaging were requested from the patient. In the laboratory evaluation of the patient, urea 160 mg/dL, creatinine 8 mg/dL, BUN: 67 mg/dL and testicular tumor markers were negative. In the patient’ imaging, a 16x12x12 cm cystic calcifie lesion extending from midLine of abdomen to superior of bladder was observed (Figure 1). Results: General surgery and laparotomy were applied to the 16 cm mass in the middle lower quadrant of the patients abdomen. The mass was found to originate from lower pole of right kidney at operation. The mass was excised from lower pole cyst, where it was connected to kidney, leaving a safe surgical margin (Figure 2). ‘The pathology result of the patient was reported as hemorrhagic cyst showing organization. Conclusions: As in our case, a comprehensive history, physical examination and further examinations are important for both diagnosis and treatment choice in patients presenting with an intra-abdominal mass. Although USG is the first preferred method, CT and MRI can be preferred in differential diagnosis due to the complex anatomical relationships in the abdomen. Surgical excision is preferred and widely used treat- ‘ment for symptomatic cysts. In our case, we found an organized hemorrhagic cyst, which was determined to be of renal origin after surgical excision and developed due to intracystic hemorrhage.