Parapelvic cyst

Case contributed by Dr Mostafa Mahmoud El Feky

Presentation

Left loin pain.

Patient Data

Age: 55
Gender: Male
CT

CT Urography

The left kidney showed renal sinus cyst stretching and displacing pelvicalyceal system which is minimally dilated as compared to the right kidney.

Case Discussion

A parapelvic cyst at times may cause compression of the pelvicalyceal system resulting into hydronephrosis. Parapelvic cyst can mimic hydronephrosis  and so can be confused with pelvi-ureteric junction obstruction as the ureter in both conditions is not dilated. This could be well differentiated at the excretory phase of CT IVP study (CT urography) that demonstrates stretched (but not dilated) collecting system by the cyst in contrary to PUJ obstruction at which the contrast will be excreted inside the dilated pelvicalyceal system. It can cause pelvicalyceal system dilatation by mass effect.

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Case information

rID: 52815
Case created: 21st Apr 2017
Last edited: 30th May 2017
System: Urogenital
Inclusion in quiz mode: Included

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