Pelvis beside cyst (Parapelvic cyst) also known as cysts around the renal
pelvis (peripelviccyst); originated in the renal sinus , the invasion of the
renal sinus cyst cyst beside named pelvis (parapelviccyst). Parapelvic cyst is
caused by congenital factors , the incidence rate of renal cysts 1% to 3% ,
after more than 50 years to appear. Next cysts are usually solitary renal pelvis
, renal histology sources or old urinary cyst. Currently known as the clinical
side of the above two types of cysts renal pelvis .
Cystic renal pelvis beside initial diagnosis relies imaging , CT diagnosis of
the disease is most definitely the role of , IVP examination in the diagnosis of
this disease also has a high accuracy rate , can understand the bilateral renal
function , renal collecting system morphology and complications of renal hilum
and easy tips lesions , should be used as a routine examination . B- considered
in the diagnosis of this disease is sometimes misdiagnosed as hydronephrosis,
the B -scan and unexplained kidney disease should exist in the water may need
further examination. CT scan showed cysts in the renal hilum , with normal renal
parenchyma apart, the lowest density halo around the renal sinus fat in the cyst
is composed parapelvic cysts characteristic performance , CT scan pelvis beside
the cyst with hydronephrosis similar, but enhanced scan without enhancement,
development of the renal pelvis , calyces pressure and stretched, the cyst can
be set off more clearly.
Auxiliary examination next cyst diagnosed patients with renal pelvis .
Differential diagnosis of cystic renal pelvis side as follows:
1 , hydronephrosis : hydronephrosis by the urinary system , the innate and
acquired multiple factors , can occur at all ages . Patients have no obvious
clinical symptoms, there may be a sense of expansion and abdominal mass waist
severe hydrocephalus . Calculi in patients with intermittent hydronephrosis can
cause renal colic , accompanied by nausea , vomiting , abdominal distension and
oliguria and so on. Examination palpable increase in severe hydronephrosis ,
such as infection can occur pyuria and systemic symptoms of infection . The
diagnosis relies on ultrasound , IVP, CT and MRI and so on.
2 , kidney cancer: is more common cancer of the urinary system , divided into
two types of benign and malignant , benign rare. No typical clinical symptoms of
benign tumor , larger waist and abdominal pain can occur when the discomfort ,
physical examination palpable enlarged kidneys. Typical clinical manifestations
of kidney cancer is hematuria , flank pain and swelling . The diagnosis relies
on ultrasound, CT and MRI and other enhancements , more performance for solid
lesions , showed a cystic individual characteristics .
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